Organization
DALTON MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER L DALTON (OWNER)
(765) 342-3388
Entity
Organization
Contact information
Practice address
310 W MORGAN ST, MARTINSVILLE, IN 46151-1450
(765) 342-3388
Mailing address
310 W MORGAN ST, MARTINSVILLE, IN 46151-1450
(765) 342-3388
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
67655
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200897340A
—
IN
Enumeration date
06/24/2008
Last updated
06/24/2008
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