Anderson Township Ttee
Organization Active NPI Land Ambulance · Milroy, IN
NPI 1386975787 · NPPES record last updated Jun 27, 2013
Key facts
- NPI
- 1386975787
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- ANDERSON TOWNSHIP TTEE
- Practice address
- 214 W Main St
Milroy, IN 46156-9405 - Phone
- (765) 629-2000
- Fax
- (765) 629-2000
- NPI assigned
- Jan 25, 2010
- Organization subpart
- No
Authorized official
- Name
- Karen S. Jenkins
- Title
- Trustee
- Phone
- (765) 629-2000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100518000532 | IN | Part B Supplier - Ambulance Service Supplier | 1759410459 | Practice locations: Milroy, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
214 W Main St
Milroy, IN 46156-9405
Mailing address
214 W Main St
Milroy, IN 46156-9405
Phone (765) 629-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200977550 | Medicaid | IN |
Other names
- Anderson Twp Vol Fire Dept
Other providers in Milroy, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.