KEENER CIVIL TOWNSHIP JASPER COUNTY TTEE NPI 1215960463

NPI Information

NPI: 1215960463
Provider Name: KEENER CIVIL TOWNSHIP JASPER COUNTY TTEE

Other Name: KEENER TOWNSHIP AMBULANCE/ EMS

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
708 15TH ST SE
DEMOTTE, IN
ZIP 46310
Phone: (219) 987-2021
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KEENER CIVIL TOWNSHIP JASPER COUNTY TTEE is a land transport ambulance in Demotte, IN. KEENER CIVIL TOWNSHIP JASPER COUNTY TTEE NPI is 1215960463. The provider is registered as an organization entity type.
The provider Other Name Is Keener Township Ambulance/ Ems.

The provider's business location address is:

708 15TH ST SE
DEMOTTE, IN
ZIP 46310
Phone: (219) 987-2021

The provider's authorized official is Diana Marie Haberlin .
The authorized official title is Keener Township Trustee and has the following contact phone number (219) 987-7825.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 8/30/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	0034	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20024750	MEDICAID	INDIANA
2	000000191760	OTHER	INDIANA	ATHEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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