JEFFERSON TWP ELKHART CO NPI 1922117233

NPI Information

NPI: 1922117233
Provider Name: JEFFERSON TWP ELKHART CO

Other Name: JEFFERSON TOWNSHIP AMBULANCE SERVICE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
58518 STATE ROAD 15
GOSHEN, IN
ZIP 46528
Phone: (574) 533-0261
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JEFFERSON TWP ELKHART CO is a land transport ambulance in Goshen, IN. JEFFERSON TWP ELKHART CO NPI is 1922117233. The provider is registered as an organization entity type.
The provider Other Name Is Jefferson Township Ambulance Service.

The provider's business location address is:

58518 STATE ROAD 15
GOSHEN, IN
ZIP 46528-673
Phone: (574) 533-0261

The provider's authorized official is Martin L Lowe .
The authorized official title is Ems Director and has the following contact phone number (574) 533-0261.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 5/10/2013.

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
1	3416L0300X	Ambulance	Land Transport	0181	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	979420	MEDICARE ID-TYPE UNSPECIFIED	INDIANA
2	590000434	OTHER		RRMC PTAN
3	000000211128	OTHER	INDIANA	ANTHEM
4	200364730A	MEDICAID	INDIANA

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

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