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Organization

TOWN OF ST. JOHN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SHANE ADAMS (FIRE CHIEF)
(219) 365-6034
Entity
Organization

Contact information

Practice address
10955 W 93RD AVE, SAINT JOHN, IN 46373-8824
(219) 365-6034
(219) 558-2080
Mailing address
10955 W 93RD AVE, SAINT JOHN, IN 46373-7809
(219) 365-6034
(219) 558-2080

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0566
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200367650A
IN
Enumeration date
05/23/2005
Last updated
03/09/2026
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