Organization
JENNINGS COUNTY AUDITOR
Active
Other names
Jennings County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE GERTH (DIRECTOR)
(812) 346-4715
Entity
Organization
Contact information
Practice address
925 SOUTH STATE STREET, NORTH VERNON, IN 47265
(812) 346-4715
(812) 346-3435
Mailing address
PO BOX 489, NORTH VERNON, IN 47265
(812) 346-4715
(812) 346-3435
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101300
—
IN
Enumeration date
02/22/2007
Last updated
06/01/2017
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