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Contact Information

JAY COUNTY GOVERNMENT
902 N CREAGOR AVE
PORTLAND, IN47371
 Phone: 260-726-2311
 Fax: 260-726-2371
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for JAY COUNTY GOVERNMENT

NPI Number 1497756043
LBN Legal business name JAY COUNTY GOVERNMENT
Authorized official JOHN MCFARLAND - (SUPERVISOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/04/2005
Last updated 03/03/2022 - About 4 years ago
Identifiers
IN License # 0021
IN Medicaid 100281680A
OH Medicaid 0506938
Other 000000201427 BLUE CROSS
Other 881803 FEDERAL BLACK LUNG
Other 590008516 RR RETIREMENT/UHC
IN Other 107298 CHILDRENS SPECIAL HEALTH
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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