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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