Organization
MIDDLEBURY CIVIL TWP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA MUELLER (EMS ADMINISTRATOR)
(574) 825-3446
Entity
Organization
Contact information
Practice address
117 N MAIN ST, MIDDLEBURY, IN 46540-9085
(574) 825-3446
(574) 825-3118
Mailing address
PO BOX 429, LEWISVILLE, NC 27023-0429
(336) 791-0196
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0056
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000229151
ANTHEM BCBS
IN
05
—
100286840A
—
IN
Enumeration date
06/11/2006
Last updated
01/26/2026
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