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Organization
SOUTHERN RIPLEY COUNTY EMERGENCY LIFE SQUAD INC
Active
Organization
SOUTHERN RIPLEY COUNTY EMERGENCY LIFE SQUAD INC
Active
Other names
Rescue 69
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES COZART (CHIEF)
(812) 689-5897
Entity
Organization
Contact information
Practice address
727 W HOPEWELL RD, VERSAILLES, IN 47042-7324
(812) 689-3179
(812) 689-4521
Mailing address
10361 SPARTAN DR, CINCINNATI, OH 45215-1220
(800) 962-1484
(513) 772-4464
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100289790A
—
IN
01
—
2000000191167
ANTHEM
IN
01
—
P00241206
RAILROAD MEDICARE
—
Enumeration date
08/11/2006
Last updated
11/26/2018
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