# ST MARYS WARRICK EMERGENCY MEDICAL SERVICES INC

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

## Provider details

- **NPI number:** 1912011172
- **Authorized official:** MRS. CHERYL RICHEY (FINANCE DIRECTOR)
- **Authorized official phone:** (812) 897-7143

## Contact information

- **Practice address:** 415 S 4TH ST, BOONVILLE, IN 47601-1809
- **Practice address phone:** (812) 897-7078
- **Mailing address:** 7669 SOLUTION CTR, LOCKBOX 777669, CHICAGO, IL 60677-0076
- **Mailing address phone:** (812) 897-7078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 0069 | IN | Yes |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 11/22/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200836200A | — | IN |
| 01 | — | P00387546 | RR MEDICARE | IN |