Organization
TRI-COUNTY AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD D RHOADES PARAMEDIC (OWNER)
(574) 862-3105
Entity
Organization
Contact information
Practice address
615 NELSONS PKWY, WAKARUSA, IN 46573-9580
(574) 862-3150
(574) 862-7951
Mailing address
615 NELSONS PKWY, WAKARUSA, IN 46573-9580
(574) 862-3150
(574) 862-7951
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0618
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000190132
BLUE CROSS BLUE SHIELD
IN
05
—
200222430
—
IN
01
—
590013921
RAILROAD MEDICARE
IN
Enumeration date
07/13/2005
Last updated
08/05/2013
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