Organization
SPENCER COUNTY EMERGENCY AMBULANCE SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE STOUT (EMS DIRECTOR)
(812) 937-4700
Entity
Organization
Contact information
Practice address
701 DALE-BUFFALOVILLE RD, DALE, IN 47523-9056
(812) 937-4700
Mailing address
PO BOX 21727, CLEVELAND, OH 44121-0727
(440) 605-9117
(440) 442-4443
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
740164
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000181491
ANTHEM
IN
05
—
100282240
—
IN
01
—
791590753
RAILROAD
—
Enumeration date
03/14/2006
Last updated
06/12/2024
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