Organization
FOUR- WAY AMBULANCE EMERGENCY SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARSHA A SCOTT (SEC TREAS)
(574) 353-7460
Entity
Organization
Contact information
Practice address
201 W MAIN, MENTONE, IN 46539
(574) 353-7460
(574) 353-7807
Mailing address
BOX 225, MENTONE, IN 46539
(574) 353-7460
(574) 353-7807
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0242
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000234647
ANTHEM
IN
05
—
100281950A
—
IN
Enumeration date
01/22/2007
Last updated
12/19/2022
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