Organization
PHOENIX PARAMEDIC SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL A METZ (PRESIDENT/CEO)
(765) 448-4327
Entity
Organization
Contact information
Practice address
1600 KEPNER DR STE E, LAFAYETTE, IN 47905-7436
(765) 448-4327
(765) 448-4694
Mailing address
1600 KEPNER DR STE E, LAFAYETTE, IN 47905-7436
(765) 448-4327
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1250
STATE EMS COMMSION: EMS PROVIDER
IN
05
—
300012385
—
IN
01
—
429362
MOTOR CARRIER
IN
Enumeration date
09/09/2019
Last updated
09/23/2019
About Stedi
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