Organization
MC AMBULANCE SERVICE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA WOODRUFF A-EMT (MANAGER)
(812) 636-7888
Entity
Organization
Contact information
Practice address
10770 N 600 E, ODON, IN 47562
(812) 636-7888
Mailing address
10770 N 600 E, ODON, IN 47562
(812) 636-7888
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0752
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0752
IN STATE EMS CERT #
IN
Enumeration date
09/27/2005
Last updated
08/22/2020
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