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Rodolfo Pancubila
Non-emergency Medical Transport (VAN) in Crown Point, Indiana
NPI 1881103752

Rodolfo Pancubila is a Non-emergency Medical Transport (VAN) based in Crown Point, IN. Rodolfo Pancubila practices in Crown Point, IN. The NPI Number for Rodolfo Pancubila is 1881103752 and holds a License No. (Indiana).

The current practice location address for Rodolfo Pancubila is 1225 Creekside Dr, Crown Point, IN and can be reached out via phone at 219-669-0591. You can also correspond with Rodolfo Pancubila through the mailing address at PO BOX 849, CROWN POINT, IN - 46308-0849 (mailing address contact number: ).

Location: 1225 Creekside Dr, Crown Point, IN, 46308-0849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881103752
Provider Name
Rodolfo Pancubila
Credential
Provider Entity Type
Individual
Gender
Male
Address
1225 Creekside Dr, Crown Point, IN, 46308-0849
Phone Number
219-669-0591
Fax Number
Provider Enumeration Date
09/23/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1225 Creekside Dr
City
Crown Point
State
Indiana
Zip
46307-8215
Phone Number
219-669-0591
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 849
City
Crown Point
State
Indiana
Zip
46308-0849
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
(Indiana)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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