Organization
WALKERTON POLK LINCOLN AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAROL JACKSON (PRESIDENT)
(574) 586-3711
Entity
Organization
Contact information
Practice address
510 ROOSEVELT RD, WALKERTON, IN 46574-1216
(574) 586-3711
Mailing address
510 ROOSEVELT RD, WALKERTON, IN 46574-1216
(574) 586-3711
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0267
IN
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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