Organization
HEARTLAND AMBULANCE SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN JACKSON (MANAGER)
(765) 863-5150
Entity
Organization
Contact information
Practice address
2105 W GODMAN AVE, MUNCIE, IN 47303-4746
(409) 832-0272
(866) 206-2306
Mailing address
PO BOX 787, PORT NECHES, TX 77651-0787
(502) 619-8839
(866) 206-2306
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000685683
BLUE CROSS BLUE SHEILD
IN
05
—
201004960A
—
IN
05
—
300086154
—
IN
Enumeration date
06/09/2010
Last updated
08/13/2024
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