Organization
QUALITY CARE AMBULANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY J COLLEY (PRESIDENT)
(765) 664-0706
Entity
Organization
Contact information
Practice address
911 S ADAMS ST, MARION, IN 46953-2048
(765) 664-0706
Mailing address
911 S ADAMS ST, MARION, IN 46953-2048
(765) 664-0706
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0402
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000192416
ANTHEM PROVIDER NUMBER
IN
Enumeration date
05/05/2006
Last updated
08/22/2020
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