# RANDOLPH COUNTY EMS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366434888
- **Authorized official:** MR. GARY MOORE (DIRECTOR)
- **Authorized official phone:** (317) 775-6753

## Contact information

- **Practice address:** 110 E HOSPITAL DR, WINCHESTER, IN 47394-2223
- **Practice address phone:** (765) 584-8055
- **Practice address fax:** (765) 584-1170
- **Mailing address:** PO BOX 503024, INDIANAPOLIS, IN 46250-8024
- **Mailing address phone:** (317) 849-6628
- **Mailing address fax:** (317) 849-6632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 0272 | IN | Yes |

## Other

- **Enumeration date:** 08/19/2005
- **Last updated:** 08/04/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000188952 | ANTHEM | IN |
| 05 | — | 300086525 | — | IN |