Organization
SELLERSBURG VOLUNTEER FIRE DEPARTMENT, INC.
Active
Organization
SELLERSBURG VOLUNTEER FIRE DEPARTMENT, INC.
Active
Other names
CLARK COUNTY EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK BALL (DIRECTOR)
(812) 245-6655
Entity
Organization
Contact information
Practice address
426 E UTICA ST, SELLERSBURG, IN 47172-1405
(812) 246-6655
(812) 246-7241
Mailing address
PO BOX 589, MADISONVILLE, KY 42431-5011
(270) 824-8123
(270) 824-8140
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0420
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000066545
ANTHEM BLUE CROSS
KY
05
—
100290730A
—
IN
01
—
129917300
FEDERAL BLACK LUNG PROGRAM
—
05
—
55340624
—
KY
05
—
56008006
—
KY
01
—
N285210
HARMONY HEALTH PLAN
IN
Enumeration date
07/04/2005
Last updated
10/17/2011
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