Organization
MEDLIFE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY METHENY (GENERAL MANAGER)
(812) 268-9882
Entity
Organization
Contact information
Practice address
12 N STATE ST, SULLIVAN, IN 47882-1550
(812) 268-9882
(812) 268-9852
Mailing address
PO BOX 383, SULLIVAN, IN 47882-0383
(812) 268-9882
(812) 268-9852
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0635
IN
Other
Enumeration date
07/10/2006
Last updated
04/20/2008
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