institution
St Joseph County - Harris Civil Township
Land Ambulance in Granger, Indiana
NPI 1780698043

St Joseph County - Harris Civil Township is a Land Ambulance based in Wheeling, IN and is specialized in Land Transport. St Joseph County - Harris Civil Township practices in Granger, IN. The NPI Number for St Joseph County - Harris Civil Township is 1780698043 and holds a License No. 0433 (Indiana).

The current practice location address for St Joseph County - Harris Civil Township is 13981 State Road 23, Granger, IN and can be reached out via phone at 574-272-7861 and via fax at 574-272-1108.

Location: 13981 State Road 23, Granger, IN, 60090-0457
institution
Provider Profile Details
NPI Number
1780698043
Provider Name
St Joseph County - Harris Civil Township
Credential
Provider Entity Type
Organization
Address
13981 State Road 23, Granger, IN, 60090-0457
Phone Number
574-272-7861
Fax Number
574-272-1108
Provider Enumeration Date
07/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000361043 01 IN ANTHEM BCBS
200103940A 05 IN
institution
Provider Business Practice Location Address Details
Address
13981 State Road 23
City
State
Zip
46530-7596
Phone Number
574-272-7861
Fax Number
574-272-1108
person
Provider Business Mailing Address Details
Address
13981 State Road 23
City
State
Zip
46530-7596
Phone Number
574-272-7861
Fax Number
574-272-1108
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Ambulance
Speciality
Land Transport
Taxonomy
License No.
0433 (Indiana)
Definition
Definition to come...
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