Organization Name: | JACKSON COUNTY AMBULANCE SERVICE |
NPI Number: | 1043385883 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENNIS BRASHER (EXECUTIVE DIRECTOR) |
Mailing Address: | 616 W Brown St Seymour |
State: | IN US |
Postal Code: | 472742970 |
Phone Number: | 8125237501 |
Fax Number: | 8125228670 |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 0391 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |