Organization
PIKE COUNTY AUDITOR
Active
Other names
Pike County Emergency Medical Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER T YOUNG (DIRECTOR)
(812) 354-8796
Entity
Organization
Contact information
Practice address
798 E ILLINOIS ST, PETERSBURG, IN 47567-9079
(812) 354-8796
Mailing address
PO BOX 485, PETERSBURG, IN 47567-0485
(812) 354-8796
(812) 354-8257
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0015
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100281860A
—
IN
01
—
218542
ANTHEM IN
IN
Enumeration date
02/14/2007
Last updated
05/20/2022
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