Organization
PHYSICIANS AMBULANCE SERVICE OF INDIANA, LLC
Active
Other names
Physicians Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH JACKSON (PRESIDENT MANAGING PARTNER)
(765) 863-7033
Entity
Organization
Contact information
Practice address
3305 NICHOL AVE, ANDERSON, IN 46011-3001
(502) 619-8839
(502) 531-0103
Mailing address
PO BOX 787, PORT NECHES, TX 77651-0787
(502) 619-8399
(502) 530-0103
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
08/13/2024
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