Organization
SALEM TOWNSHIP DALEVILLE EMERGENCY MEDICAL SERVICES INC.
Active
Other names
Salem Township/Daleville EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL HAISLEY (DIRECTOR)
(765) 378-5010
Entity
Organization
Contact information
Practice address
14010 W DALEVILLE RD, DALEVILLE, IN 47334-9139
(317) 849-6628
(317) 849-6632
Mailing address
PO BOX 56002, INDIANAPOLIS, IN 46256-0002
(317) 849-6628
(317) 849-6632
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0073
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200349750A
—
IN
Enumeration date
11/01/2006
Last updated
02/23/2015
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