Organization
PUTNAM COUNTY OPERATION LIFE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC J CLAFLIN NRP, FP-C (EXECUTIVE DIRECTOR)
(765) 653-3600
Entity
Organization
Contact information
Practice address
513 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2113
(765) 653-3600
(765) 653-5893
Mailing address
PO BOX 502250, INDIANAPOLIS, IN 46250-7250
(317) 849-6628
(317) 849-6632
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
670116
IN
3416L0300X
Land Ambulance
670116
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000184970
ANTHEM INSURANCE
—
05
—
100281580
—
IN
01
—
228688
BLUE CROSS OF VIRGINIA
VA
01
—
590568126
RAILROAD MEDICARE
—
Enumeration date
06/08/2005
Last updated
06/11/2019
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