KEENER CIVIL TOWNSHIP JASPER COUNTY TTEE; NPI #1215960463

Contact Information

KEENER CIVIL TOWNSHIP JASPER COUNTY TTEE

708 15TH ST SE
DE MOTTE, IN 46310

Phone: 219-987-2021
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for KEENER CIVIL TOWNSHIP JASPER COUNTY TTEE

NPI # 1215960463

LBN Legal business name KEENER CIVIL TOWNSHIP JASPER COUNTY TTEE

Authorized official DIANA HABERLIN - (KEENER TOWNSHIP TRUSTEE)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/09/2006

Last updated 08/30/2018 - About 8 years ago

Identifiers

IN	License #	0034
IN	Medicaid	20024750
IN	Other	000000191760	ATHEM

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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