Organization
JACKSON COUNTY EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS BRASHER (EMS DIRECTOR)
(812) 523-7500
Entity
Organization
Contact information
Practice address
616 W BROWN ST, SEYMOUR, IN 47274-2970
(812) 523-7500
Mailing address
209 S ARMSTRONG ST, CROTHERSVILLE, IN 47229-1601
(812) 793-8141
(812) 793-2319
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0391
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000184205
ANTHEM
IN
05
—
N316078
—
IN
Enumeration date
11/10/2006
Last updated
08/22/2020
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