Organization
CARROLL COUNTY EMERGENCY MEDICAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA GRETTER (ADMINISTRATIVE ASSISTANT)
(574) 967-4161
Entity
Organization
Contact information
Practice address
908 W COLUMBIA ST, FLORA, IN 46929-9219
(574) 967-4161
(574) 967-4197
Mailing address
PO BOX 13, FLORA, IN 46929-0013
(574) 967-4161
(574) 967-4197
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000192060
ANTHEM BCBS
IN
Enumeration date
12/27/2006
Last updated
08/28/2007
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