Organization
WASHINGTON COUNTY
Active
Other names
Washington County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
TROY D NICHOLSON EMT-P (EMS DIRECTOR)
(812) 883-2921
Entity
Organization
Contact information
Practice address
601 ANSON ST, SALEM, IN 47167-2237
(812) 883-2921
(812) 883-5202
Mailing address
601 ANSON ST, SALEM, IN 47167-2237
(812) 883-2921
(812) 883-5202
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201219460
—
IN
Enumeration date
01/09/2014
Last updated
06/05/2014
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