Organization
KEENEY AMBULANCE & TRANSPORT SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARSHA A. MILLS (OFFICE MANAGER)
(219) 866-3739
Entity
Organization
Contact information
Practice address
500 E WALNUT ST, RENSSELAER, IN 47978-2366
(219) 866-3739
(219) 866-7407
Mailing address
500 E WALNUT ST, RENSSELAER, IN 47978-2366
(219) 866-3739
(219) 866-7407
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0150
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200460790
—
IN
Enumeration date
07/11/2005
Last updated
08/20/2010
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