Organization
RANDOLPH COUNTY EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALTON BROWN (ASSITANT DIRECTOR)
(317) 775-6753
Entity
Organization
Contact information
Practice address
110 E HOSPITAL DR, WINCHESTER, IN 47394-2223
(765) 584-8055
(765) 584-1170
Mailing address
PO BOX 503024, INDIANAPOLIS, IN 46250-8024
(317) 849-6628
(317) 849-6632
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0272
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000188952
ANTHEM
IN
05
—
300086525
—
IN
Enumeration date
08/19/2005
Last updated
10/29/2024
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