Organization
SPENCER COUNTY EMERGENCY AMBULANCE SERVICE, INC
Active
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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