Organization
MISSION MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE FORT NREMT-I (OWNER)
(317) 775-6751
Entity
Organization
Contact information
Practice address
305 BUCKINGHAM WAY, LOGANSPORT, IN 46947-2465
(574) 225-1551
Mailing address
PO BOX 415000 MSC 8013, NASHVILLE, TN 37241-8013
(317) 849-6628
(317) 849-6632
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
01/14/2016
Last updated
04/13/2023
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