SUNMAN AREA LIFE SQUAD, INC.; NPI #1265533467

Contact Information

SUNMAN AREA LIFE SQUAD, INC.

403 N MERIDIAN ST
SUNMAN, IN 47041

Phone: 812-623-2763
Fax: 812-623-5100
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 SUNMAN AREA LIFE SQUAD, INC.

NPI Number 1265533467

LBN Legal business name SUNMAN AREA LIFE SQUAD, INC.

Authorized official BRIAN MAYNARD - (CHIEF OF EMS)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/26/2006

Last updated 05/17/2024 - About 2 years ago

Identifiers

IN	License #	0004
IN	Medicaid	200297690A
IN	Other	000000303775	ANTHEM
IN	Other	P00164852	RRMC

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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