Organization
SHARPSVILLE COMMUNITY AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROB BALES (BOARD PRESIDENT)
(765) 963-5775
Entity
Organization
Contact information
Practice address
151 W. VINE ST, SHARPSVILLE, IN 46068
(765) 963-5775
Mailing address
PO BOX 2915, ELKHART, IN 46515-2915
(574) 293-3030
(574) 294-1345
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0016
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000323307
ANTHEM
IN
05
—
100281990A
—
IN
01
—
791590713
RRMC PTAN
—
Enumeration date
09/25/2006
Last updated
06/17/2008
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