Putnam County Operation Life, Inc.
Organization Active NPI Ambulance · Greencastle, IN
NPI 1265436166 · NPPES record last updated Jun 11, 2019
Key facts
- NPI
- 1265436166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 670116 (IN)
- Legal business name
- PUTNAM COUNTY OPERATION LIFE, INC.
- Practice address
- 513 S Bloomington St
Greencastle, IN 46135-2113 - Phone
- (765) 653-3600
- Fax
- (765) 653-5893
- NPI assigned
- Jun 8, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Eric J Claflin, NRP, FP-C
- Title
- Executive Director
- Phone
- (765) 653-3600
Practitioners 3
-
Kelly Marie Russ, MPA, RN
-
Anthony Joseph Taylor, RN, MPH
National Provider Directory
Locations
52 Mills St
Cloverdale, IN 46120
Phone (765) 653-3600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 670116 | IN | Yes |
| Land Ambulance | 3416L0300X | 670116 | IN |
Addresses
Primary practice location
513 S Bloomington St
Greencastle, IN 46135-2113
Mailing address
PO Box 502250
Indianapolis, IN 46250-7250
Phone (317) 849-6628
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100281580 | Medicaid | IN | |
| 228688 | Other | VA | BLUE CROSS OF VIRGINIA |
| 590568126 | Other | RAILROAD MEDICARE | |
| 000000184970 | Other | ANTHEM INSURANCE |
Other providers in Greencastle, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.