CONVERSE AMBULANCE CORPORATION; NPI #1548271752

Contact Information

CONVERSE AMBULANCE CORPORATION

210 N. JEFFERSON ST.
CONVERSE, IN 46919

Phone: 765-395-3459
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 CONVERSE AMBULANCE CORPORATION

NPI Number 1548271752

LBN Legal business name CONVERSE AMBULANCE CORPORATION

Authorized official MARY THOMAS - (EMS COORDINATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/11/2006

Last updated 04/22/2008 - About 18 years ago

Identifiers

IN	License #	0103
IN	Medicaid	200454280A
	Other	P00399943	RRMC PTAN
IN	Other	000000250990	ANTHEM

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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