# LAPEL STONY CREEK TOWNSHIP AMBULANCE SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lapel Emergency Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063415685
- **Authorized official:** MRS. PAULA R LEE (BILLING CLERK)
- **Authorized official phone:** (765) 534-3157

## Contact information

- **Practice address:** 720 S FORD ST, LAPEL, IN 46051-0999
- **Practice address phone:** (765) 534-3157
- **Practice address fax:** (765) 534-3158
- **Mailing address:** 720 S FORD STREET, PO BOX 999, LAPEL, IN 46051-0999
- **Mailing address phone:** (765) 534-3157
- **Mailing address fax:** (765) 534-3158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 0049 | IN | Yes |

## Other

- **Enumeration date:** 05/27/2005
- **Last updated:** 03/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000186470 | ANTHEM BCBS | IN |