Organization
FRANCISCAN HEALTH LAFAYETTE
Active
Other names
Tippecanoe Emergency Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE E. WILSON (CEO)
(765) 502-4440
Entity
Organization
Contact information
Practice address
1501 HARTFORD ST, LAFAYETTE, IN 47904-2134
(765) 449-3152
(765) 449-3117
Mailing address
1501 HARTFORD ST, LAFAYETTE, IN 47904-2134
(765) 423-6276
(765) 423-6049
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0007
IN
Other
Enumeration date
12/24/2009
Last updated
04/16/2021
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