Organization
CARLISLE LIONS COMMUNITY AMBULANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ANN DUDLEY 7731397 INTERMEDIATE (CHIEF EXECUTIVE OFFICER)
(812) 398-4693
Entity
Organization
Contact information
Practice address
2549 E COUNTY ROAD 700 S, CARLISLE, IN 47838-8245
(812) 398-4046
(812) 398-9094
Mailing address
3134 MALLARD COVE LN, FORT WAYNE, IN 46804-2882
(260) 436-9495
(260) 436-7235
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0024
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000202117
ANTHEM
IN
05
—
100281640A
—
IN
Enumeration date
08/04/2006
Last updated
07/24/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us