Organization
CITY OF CONNERSVILLE
Active
Organization
CITY OF CONNERSVILLE
Active
Other names
Fayette County First Aid
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSEMARY BROWN (CITY CLERK TREASURER)
(765) 825-1271
Entity
Organization
Contact information
Practice address
2330 N PARK RD, CONNERSVILLE, IN 47331-2904
(765) 825-3524
Mailing address
500 N CENTRAL AVE, CONNERSVILLE, IN 47331-2046
(765) 825-6706
(765) 827-0858
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
01057220A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000315505
ANTHEM
IN
05
—
100282160A
—
IN
Enumeration date
02/09/2007
Last updated
01/30/2020
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