Organization
MONROEVILLE EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN ROTHGEB (PRESIDENT)
(260) 623-6861
Entity
Organization
Contact information
Practice address
103 S WATER ST, MONROEVILLE, IN 46773-9301
(260) 623-3316
Mailing address
3134 MALLARD COVE LN, FORT WAYNE, IN 46804-2882
(260) 436-9495
(260) 436-7235
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0025
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000234677
ANTHEM
IN
Enumeration date
07/02/2006
Last updated
08/22/2020
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