Organization
COURTEOUS MAV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLINA FANCHER (PRESIDENT)
(973) 725-9164
Entity
Organization
Contact information
Practice address
6301 MONARCH DR, INDIANAPOLIS, IN 46224-1828
(973) 725-9164
(973) 424-9616
Mailing address
PO BOX 22392, INDIANAPOLIS, IN 46222-0392
(973) 725-9164
(973) 424-9616
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1242928
IN
Other
Enumeration date
04/06/2007
Last updated
08/22/2020
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