Organization
TOWN OF SYRACUSE
Active
Other names
Town of Syracuse Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE A KLINE (CLERK-TREASURER)
(574) 457-3216
Entity
Organization
Contact information
Practice address
402 N HUNTINGTON ST, SYRACUSE, IN 46567-1226
(574) 457-4100
(574) 457-5505
Mailing address
310 N HUNTINGTON ST, SYRACUSE, IN 46567-1309
(574) 457-3216
(574) 457-2693
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0206
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000211100
ANTHEM BC / BS
IN
01
—
I007263
CHAMPUS
IN
Enumeration date
08/17/2006
Last updated
08/22/2020
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