Organization
PHOENIX PARAMEDIC SOLUTIONS, LLC
Active
Organization
PHOENIX PARAMEDIC SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL A METZ (CEO)
(765) 448-4327
Entity
Organization
Contact information
Practice address
3554 PROMENADE PKWY, LAFAYETTE, IN 47909-8417
(765) 637-7161
Mailing address
3535 MCCARTY LN, LAFAYETTE, IN 47905-4985
(765) 237-4129
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/28/2022
Last updated
04/23/2024
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