Organization
CITY OF EVANSVILLE
Active
Other names
City of Evansville Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNY CAROL COLLINS (DEPUTY CONTROLLER)
(812) 436-4916
Entity
Organization
Contact information
Practice address
1 NW MARTIN LUTHER KING JR BLVD RM 300, EVANSVILLE, IN 47708-1833
(812) 436-4916
(812) 436-4926
Mailing address
1 NW MARTIN LUTHER KING JR BLVD RM 300, EVANSVILLE, IN 47708-1833
(812) 436-4916
(812) 436-4926
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55340384
MEDICAID
KY
Enumeration date
10/24/2006
Last updated
08/22/2020
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