| NPI | 1972609592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE WHEELER Provider Relations Specialist 304-521-1576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
| Additional Taxonomies | 341600000X Ambulance |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2016-04-19 |