Organization
LADOGA RESCUE, INC.
Active
Organization
LADOGA RESCUE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HUNLEY (DIRECTOR)
(765) 942-2580
Entity
Organization
Contact information
Practice address
1025 E. MAIN ST., LADOGA, IN 47954-9999
(765) 942-2580
Mailing address
PO BOX 266, LADOGA, IN 47954-0266
(765) 942-2580
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0499
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000318682
ANTHEM
IN
05
—
200161580A
—
IN
Enumeration date
07/27/2006
Last updated
03/17/2018
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