# KOSCIUSKO AMBULANCE SERVICES LLC

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

## Provider details

- **NPI number:** 1780068122
- **Authorized official:** JAMES P WRIGHT (VP PHYSICIAN BUSINESS SERVICES)
- **Authorized official phone:** (615) 778-1502

## Contact information

- **Practice address:** 34 E ARMSTRONG RD, LEESBURG, IN 46538-9368
- **Practice address phone:** (574) 269-1975
- **Practice address fax:** (574) 453-4276
- **Mailing address:** PO BOX 689022, FRANKLIN, TN 37068-9022
- **Mailing address phone:** (615) 465-7000
- **Mailing address fax:** (615) 628-6877

## Taxonomy

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

## Other

- **Enumeration date:** 07/15/2015
- **Last updated:** 07/31/2019