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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