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Organization

SEALS AMBULANCE SERVICE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT A JEWELL (CHIEF REVENUE INTEGRATION OFFICER)
(844) 597-4911
Entity
Organization

Contact information

Practice address
2400 ROOSEVELT AVE, INDIANAPOLIS, IN 46218-4214
(844) 597-4911
(866) 687-2796
Mailing address
PO BOX 660884, DALLAS, TX 75266-0884
(844) 597-4911
(866) 687-2796

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0182
IN
343900000X
Non-emergency Medical Transport (VAN)
28771
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000182435
BCBS-ANTHEM INSURANCE
IN
05
200030170A
IN
Enumeration date
06/15/2005
Last updated
08/09/2023
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