Organization
STEUBEN COUNTY AUDITOR
Active
Other names
Steuben County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
JAYSON W MCCONNELL (INTERIM DIRECTOR)
(260) 668-1000
Entity
Organization
Contact information
Practice address
205 S MARTHA ST STE 100, ANGOLA, IN 46703-1900
(260) 668-1000
(260) 665-8368
Mailing address
PO BOX 2122, RIVERVIEW, MI 48193-1122
(800) 926-6985
(734) 479-6319
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0287
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000184580
PIN FOR BCBS
IN
05
—
0499867
—
OH
05
—
100281370A
—
IN
01
—
590164357
RAILROAD MEDICARE
IN
Enumeration date
07/01/2005
Last updated
10/02/2023
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