Organization
MADISON TOWNSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN ALCALA (DIRECTOR)
(317) 775-6753
Entity
Organization
Contact information
Practice address
7047 E LANDERSDALE RD, CAMBY, IN 46113-8511
(317) 775-6753
Mailing address
PO BOX 56002, INDIANAPOLIS, IN 46256-0002
(317) 775-6753
(317) 849-6632
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0808
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200508370A
—
IN
Enumeration date
09/27/2006
Last updated
07/05/2022
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