institution
Jefferson Twp Elkhart Co
Land Ambulance in Goshen, Indiana
NPI 1922117233

Jefferson Twp Elkhart Co is a Land Ambulance based in Elkhart, IN and is specialized in Land Transport. Jefferson Twp Elkhart Co practices in Goshen, IN. The NPI Number for Jefferson Twp Elkhart Co is 1922117233 and holds a License No. 0181 (Indiana).

The current practice location address for Jefferson Twp Elkhart Co is 58518 State Road 15, Goshen, IN and can be reached out via phone at 574-533-0261.

Location: 58518 State Road 15, Goshen, IN, 46515-0727
institution
Provider Profile Details
NPI Number
1922117233
Provider Name
Jefferson Twp Elkhart Co
Credential
Provider Entity Type
Organization
Address
58518 State Road 15, Goshen, IN, 46515-0727
Phone Number
574-533-0261
Fax Number
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
590000434 01 RRMC PTAN
200364730A 05 IN
000000211128 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
58518 State Road 15
City
State
Zip
46528-8673
Phone Number
574-533-0261
Fax Number
person
Provider Business Mailing Address Details
Address
58518 State Road 15
City
State
Zip
46528-8673
Phone Number
574-533-0261
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Ambulance
Speciality
Land Transport
Taxonomy
License No.
0181 (Indiana)
Definition
Definition to come...
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