Lagrange County Council on Aging
Organization Active NPI Non-emergency Medical Transport (VAN) · Lagrange, IN
NPI 1801020375 · NPPES record last updated May 12, 2009
Key facts
- NPI
- 1801020375
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Legal business name
- LAGRANGE COUNTY COUNCIL ON AGING
- Practice address
- 125 W Fenn St
Lagrange, IN 46761-2285 - Phone
- (260) 463-4161
- Fax
- (260) 572-2238
- NPI assigned
- May 12, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. William Cunningham
- Title
- Executive Director
- Phone
- (260) 463-4161
National Provider Directory
Locations
125 W Fenn St
Lagrange, IN 46761
Phone (260) 463-4161
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Yes |
Addresses
Primary practice location
125 W Fenn St
Lagrange, IN 46761-2285
Mailing address
PO Box 107
125 W Fenn Street
Lagrange, IN 46761-0107
Phone (260) 463-4161
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200110800 | Medicaid | IN |
Other providers in Lagrange, IN
- Aqsa Khan
- Robert Dean Kinsey
- Jessica Anne Knepper
- Elizabeth M Labuzienski
- Lagrange Chiropractic Offices, PC
- Lagrange County Dba Lagrange County Health Department
- Lagrange County Home Health Therapy Services,PC
- Lagrange Family Dentistry LLC
- Lagrange Surgery Center, LLC
- Timothy Lagro
All providers in Lagrange, IN · Non-emergency Medical Transport (VAN) in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2009. 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.