Organization
GREENE COUNTY AUDITOR
Active
Other names
Greene County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J DOANE (DIRECTOR)
(812) 384-3176
Entity
Organization
Contact information
Practice address
217 E SPRING ST, SUITE # 5, BLOOMFIELD, IN 47424-1589
(812) 384-2057
(812) 384-2058
Mailing address
217 E SPRING ST, SUITE # 5, BLOOMFIELD, IN 47424-1589
(812) 384-2057
(812) 384-2058
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0042
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000186277
ANTHEM PROVIDER NUMBER
IN
05
—
100281610
—
IN
Enumeration date
07/08/2005
Last updated
10/24/2013
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