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Organization

PLAN B

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PATRINA HEARN (PRESIDENT)
(317) 607-6640
Entity
Organization

Contact information

Practice address
3915 BRESSINGHAM DR, INDIANAPOLIS, IN 46235-3557
(317) 607-6640
Mailing address
3915 BRESSINGHAM DR, INDIANAPOLIS, IN 46235-3557
(317) 607-6640

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
2350113963
IN

Other

Enumeration date
02/05/2016
Last updated
02/05/2016
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