Organization
PIKE COUNTY MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE WHITEHEAD (CHIEF EXECUTIVE MANAGER)
(812) 582-0305
Entity
Organization
Contact information
Practice address
4747 N COUNTY ROAD 575 E, PETERSBURG, IN 47567-8804
(812) 582-0305
(800) 381-9767
Mailing address
4747 N COUNTY ROAD 575 E, PETERSBURG, IN 47567-8804
(812) 582-0305
(800) 381-9767
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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