Organization
ST MARYS WARRICK EMERGENCY MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL RICHEY (FINANCE DIRECTOR)
(812) 897-7143
Entity
Organization
Contact information
Practice address
415 S 4TH ST, BOONVILLE, IN 47601-1809
(812) 897-7078
Mailing address
7669 SOLUTION CTR, LOCKBOX 777669, CHICAGO, IL 60677-0076
(812) 897-7078
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0069
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200836200A
—
IN
01
—
P00387546
RR MEDICARE
IN
Enumeration date
08/17/2006
Last updated
11/22/2013
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