Organization
PRECISION AMBULANCE LLC
Active
Organization
PRECISION AMBULANCE LLC
Active
Other names
ST CLAIR EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA ST CLAIR (PRESIDENT)
(765) 222-1062
Entity
Organization
Contact information
Practice address
722 N EASTERN AVE, CONNERSVILLE, IN 47331-2062
(765) 222-1062
(765) 222-1190
Mailing address
PO BOX 424, CONNERSVILLE, IN 47331-0424
(765) 222-1062
(765) 222-1190
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2371
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000855060
ANTHEM BCBS
IN
05
—
201217210A
—
IN
01
—
P10297344
PALMETTO RAILROAD MEDICARE
IN
Enumeration date
12/20/2013
Last updated
10/20/2016
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