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Organization

NORTHERNWINDS INC

Active
Other names
KOUNTRY KARE EMS
Organization subpart
No

Provider details

NPI number
Authorized official
DIANNA PADGETT (BILLING MANAGER)
(866) 212-0422
Entity
Organization

Contact information

Practice address
5740 S 250 W, NORTH JUDSON, IN 46366-8350
(574) 249-0755
Mailing address
5740 S 250 W, NORTH JUDSON, IN 46366-8350
(574) 249-0755

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0979
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0979
STATE LICENSE EMS
IN
Enumeration date
05/16/2012
Last updated
05/16/2012
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