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KOSCIUSKO AMBULANCE SERVICES LLC NPI 1780068122


NPI Information

NPI: 1780068122
Provider Name: KOSCIUSKO AMBULANCE SERVICES LLC
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 15D0722964

Address:
34 E ARMSTRONG RD
LEESBURG, IN
ZIP 46538
Phone: (574) 269-1975
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KOSCIUSKO AMBULANCE SERVICES LLC is an ambulance in Leesburg, IN. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). KOSCIUSKO AMBULANCE SERVICES LLC NPI is 1780068122. The provider is registered as an organization entity type.

The provider's business location address is:

34 E ARMSTRONG RD
LEESBURG, IN
ZIP 46538-368
Phone: (574) 269-1975
Fax: (574) 453-4276

The provider's authorized official is James P Wright .
The authorized official title is Vp Physician Business Services and has the following contact phone number (615) 778-1502.

The CLIA number assigned to this NPI record is 15D0722964 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2015 and was last updated on 7/31/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1341600000XAmbulanceYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.