Organization
MADISON TWP HOAGLAND EMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATE STINE (EMS PRESIDENT)
(260) 639-6161
Entity
Organization
Contact information
Practice address
11316 HOAGLAND RD, HOAGLAND, IN 46745
(260) 639-6161
(260) 639-6161
Mailing address
PO BOX 2915, ELKHART, IN 46515-2915
(574) 293-3030
(574) 294-1345
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0330
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000234543
ANTHEM
IN
05
—
100288760A
—
IN
Enumeration date
08/17/2006
Last updated
06/17/2008
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