Organization
JAY COUNTY GOVERNMENT
Active
Parent organization
JAY COUNTY GOVERNMENT
Other names
Jay County Emergency Medical Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAY COUNTY GOVERNMENT
Authorized official
JOHN R MCFARLAND (SUPERVISOR)
(317) 775-6753
Entity
Organization
Contact information
Practice address
902 N CREAGOR AVE, PORTLAND, IN 47371
(260) 726-2311
(260) 726-2371
Mailing address
PO BOX 502250, INDIANAPOLIS, IN 46250-7250
(317) 775-6751
(317) 849-6632
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0021
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000201427
BLUE CROSS
—
05
—
0506938
—
OH
05
—
100281680A
—
IN
01
—
107298
CHILDRENS SPECIAL HEALTH
IN
01
—
590008516
RR RETIREMENT/UHC
—
01
—
881803
FEDERAL BLACK LUNG
—
Enumeration date
08/04/2005
Last updated
03/03/2022
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