Organization
MEDICAL TRANSPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE MARIE MAKAROWSKI MS, APNP (VP)
(608) 575-6050
Entity
Organization
Contact information
Practice address
3255 S STATE ROAD 2, VALPARAISO, IN 46385-9018
(219) 476-6479
Mailing address
3255 S STATE ROAD 2, VALPARAISO, IN 46385-9018
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200944070 A
—
IN
01
—
259980
MEDICARE PTAN
IN
Enumeration date
06/10/2008
Last updated
08/21/2009
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