# JAY COUNTY GOVERNMENT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JAY COUNTY GOVERNMENT
- **Other names:** Jay County Emergency Medical Service
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497756043
- **Legal business name:** JAY COUNTY GOVERNMENT
- **Authorized official:** GARY BARNETT (SUPERVISOR)
- **Authorized official phone:** (317) 775-6753

## Contact information

- **Practice address:** 902 N CREAGOR AVE, PORTLAND, IN 47371
- **Practice address phone:** (260) 726-2311
- **Practice address fax:** (260) 726-2371
- **Mailing address:** PO BOX 502250, INDIANAPOLIS, IN 46250-7250
- **Mailing address phone:** (317) 775-6751
- **Mailing address fax:** (317) 849-6632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 0021 | IN | Yes |

## Other

- **Enumeration date:** 08/04/2005
- **Last updated:** 06/12/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000201427 | BLUE CROSS | — |
| 05 | — | 0506938 | — | OH |
| 05 | — | 100281680A | — | IN |
| 01 | — | 107298 | CHILDRENS SPECIAL HEALTH | IN |
| 01 | — | 590008516 | RR RETIREMENT/UHC | — |
| 01 | — | 881803 | FEDERAL BLACK LUNG | — |