Organization
CROWN MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBRAHIM DIRWEESH (CEO)
(317) 724-8449
Entity
Organization
Contact information
Practice address
4637 ROUND LAKE RD STE G, INDIANAPOLIS, IN 46205
(317) 724-8449
Mailing address
PO BOX 22402, INDIANAPOLIS, IN 46222
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1809745
IN
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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