Organization
TIPPECANOE TOWNSHIP
Active
Other names
North Webster Tippecanoe Township EMS
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY LIKENS (CHIEF)
(574) 457-5507
Entity
Organization
Contact information
Practice address
202 N. MAIN ST., NORTH WEBSTER, IN 46555-9999
(574) 834-7676
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251
(800) 962-1484
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0205
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100281970A
—
IN
01
—
590009202
MEDICARE ID
IN
Enumeration date
03/14/2007
Last updated
05/20/2024
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