# TOWN OF BOURBON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bourbon Community EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124115613
- **Authorized official:** MRS. KIMBERLY A BERGER (CLERK-TREASURER)
- **Authorized official phone:** (574) 342-4755

## Contact information

- **Practice address:** 104 E PARK AVE, BOURBON, IN 46504-1528
- **Practice address phone:** (574) 342-4755
- **Practice address fax:** (574) 342-3205
- **Mailing address:** PO BOX 2122, RIVERVIEW, MI 48193-1122
- **Mailing address phone:** (574) 342-4755
- **Mailing address fax:** (574) 342-3205

## Taxonomy

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

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 08/22/2020