Organization
PAUL M. LEE
Active
Other names
Vermillion County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL M. LEE (OWNER)
17654924347
Entity
Organization
Contact information
Practice address
335 S. MAIN, NEWPORT, IN 47966-0340
(765) 492-4347
(765) 492-4839
Mailing address
PO BOX 340, NEWPORT, IN 47966-0340
(765) 492-4347
(765) 492-4839
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0818
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22000000265655
ANTHEM
IN
Enumeration date
05/31/2007
Last updated
08/22/2020
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