THREE RIVERS AMBULANCE AUTHORITY NPI 1861499139

NPI Information

THREE RIVERS AMBULANCE AUTHORITY is a land transport ambulance in Fort Wayne, IN. THREE RIVERS AMBULANCE AUTHORITY NPI is 1861499139. The provider is registered as an organization entity type.

The provider's business location address is:

525 HAYDEN ST
FORT WAYNE, IN
ZIP 46802-550
Phone: (260) 420-6500

The provider's authorized official is Joel Benz .
The authorized official title is Executive Director and has the following contact phone number (260) 420-6500.

The CLIA number assigned to this NPI record is 15D0883120 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2005 and was last updated on 3/1/2024.

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:

Other Identifiers

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