Organization
FRANKTON VOLUNTEER AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY CAWTHORN (BOARD PRESIDENT)
(765) 754-7575
Entity
Organization
Contact information
Practice address
110 LAFAYETTE ST., FRANKTON, IN 46044-9340
(765) 754-7575
(765) 754-8966
Mailing address
PO BOX 7, FRANKTON, IN 46044-0007
(765) 754-7575
(765) 754-8966
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0124
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000611698
ANTHEM
IN
05
—
100281740A
—
IN
Enumeration date
04/02/2008
Last updated
05/22/2013
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