Organization
MORGAN COUNTY AUDITOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT WORTH (ADMINISTRATIVE DIRECTOR)
(317) 775-6753
Entity
Organization
Contact information
Practice address
1789 E MORGAN ST, MARTINSVILLE, IN 46151-1848
(765) 342-8467
(765) 349-9736
Mailing address
PO BOX 502250, INDIANAPOLIS, IN 46250-7250
(317) 849-6628
(317) 849-6632
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0237
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200293720A
—
IN
Enumeration date
10/24/2005
Last updated
08/06/2024
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