| NPI | 1972609923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOSEPH DORN Chief Administrative Officer 833-703-2294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance |
| Additional Taxonomies | 3416L0300X Ambulance, Land Transport |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2024-07-12 |