Organization
JASPER COUNTY EMS BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAIN A HAYWORTH BOARD (PRESIDENT)
(219) 863-1214
Entity
Organization
Contact information
Practice address
2590 W CLARK ST, RENSSELAER, IN 47978-8892
(219) 866-9452
Mailing address
2590 W CLARK ST, RENSSELAER, IN 47978-8892
(219) 866-9452
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
06/06/2025
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