# BENTON COUNTY GOVERNMENT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Benton County Emergency Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922143239
- **Authorized official:** JASON FISHER INDIANA CERTIFIED PA (EMS DIRECTOR)
- **Authorized official phone:** (765) 884-2002

## Contact information

- **Practice address:** 604 E 2ND ST, SUITE C, FOWLER, IN 47944
- **Practice address phone:** (765) 884-2002
- **Practice address fax:** (765) 884-2063
- **Mailing address:** 604 E 2ND ST, SUITE C, FOWLER, IN 47944
- **Mailing address phone:** (765) 884-2002
- **Mailing address fax:** (765) 884-2063

## Taxonomy

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

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 12/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100282190A | — | IN |