Organization
DILLSBORO EMERGENCY AMBULANCE UNIT, INC.
Active
Organization
DILLSBORO EMERGENCY AMBULANCE UNIT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY J WITTERIDE (CAPTAIN)
(812) 290-6403
Entity
Organization
Contact information
Practice address
13036 NORTH ST., DILLSBORO, IN 47018
(812) 432-3169
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251
(800) 962-1484
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0038
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000305222
ANTHEM
IN
05
—
200368320A
—
IN
01
—
P00129139
RRMC PTAN
—
Enumeration date
08/17/2006
Last updated
03/20/2024
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