Organization
WAKARUSA AMBULANCE SERVICE, INC.
Active
Organization
WAKARUSA AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE LENGACHER (TREASURER)
(574) 862-2811
Entity
Organization
Contact information
Practice address
301 E WATERFORD ST, WAKARUSA, IN 46573
(574) 862-2811
Mailing address
PO BOX 2915, ELKHART, IN 46515-2915
(574) 293-3030
(574) 294-1345
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0137
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000229176
ANTHEM
IN
05
—
100281540A
—
IN
01
—
P00618289
RRMC
IN
Enumeration date
09/25/2006
Last updated
11/06/2008
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