Organization
TOWN OF NEW CARLISLE
Active
Organization
TOWN OF NEW CARLISLE
Active
Other names
New Carlisle Area Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
KEN DAVIS (EMS CHIEF)
(574) 654-8801
Entity
Organization
Contact information
Practice address
106 S. ARCH ST, NEW CARLISLE, IN 46552
(574) 654-8801
(574) 654-8802
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
0867
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000345782
ANTHEM
IN
05
—
200498960A
—
IN
01
—
P00192370
RRMC PTAN
—
Enumeration date
08/30/2006
Last updated
06/17/2008
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