Organization
STARKE COUNTY
Active
Other names
Starke County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GARNER (DIRECTOR)
(574) 772-9140
Entity
Organization
Contact information
Practice address
53 E MOUND ST, KNOX, IN 46534-1104
(574) 772-9140
(574) 772-9121
Mailing address
53 E MOUND ST, P.O. BOX 353, KNOX, IN 46534-1104
(574) 772-9140
(574) 772-9121
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0054
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000205902
BLUE CROSS BLUE SHIELD
IN
05
—
100287970A
—
IN
Enumeration date
01/26/2006
Last updated
07/23/2024
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