Organization
ETHEL SMITH
Active
Other names
Paragon Mobile Transport Service
Organization subpart
No
Provider details
NPI number
Authorized official
ETEHEL SMITH (OWNER)
(317) 657-6095
Entity
Organization
Contact information
Practice address
801 N SHORTRIDGE RD APT G11, INDIANAPOLIS, IN 46219-4947
(317) 657-6095
Mailing address
PO BOX 19811, INDIANAPOLIS, IN 46219-0811
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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