Organization
JACKSON TWP EMERGENCY AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMIL BRONI BASIC EMT (PRESIDENT)
(574) 831-4431
Entity
Organization
Contact information
Practice address
19153 COUNTY ROAD 146, NEW PARIS, IN 46553-9100
(574) 831-4431
(574) 831-4431
Mailing address
PO BOX 2122, RIVERVIEW, MI 48193-1122
(734) 479-6300
(734) 479-6319
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0136
IN
Other
Enumeration date
06/28/2006
Last updated
09/06/2007
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