Organization
TOWNSHIP OF CONCORD
Active
Other names
Concord Township Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E WEEBER (TOWNSHIP TRUSTEE)
(574) 293-6889
Entity
Organization
Contact information
Practice address
23625 CR 18, ELKHART, IN 46516-9193
(574) 875-9644
(574) 875-7687
Mailing address
2804 TOLEDO RD, ELKHART, IN 46516-5778
(574) 293-6899
(574) 294-7465
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1047
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000384008
BCBS
IN
05
—
200366950A
—
IN
01
—
P00337260
RR MEDICARE
IN
Enumeration date
08/04/2006
Last updated
01/04/2019
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