| Organization Name: | STATEWIDE TRANSFER AMBULANCE AND RESCUE, INC |
| NPI Number: | 1215973888 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAMUEL D PECK (OWNER/CEO) |
| Mailing Address: | 61 E 150 S Crawfordsville |
| State: | IN US |
| Postal Code: | 479333848 |
| Phone Number: | 7653641500 |
| Fax Number: | 7653646981 |
| NPI Enumeration Date: | 06/21/2006 |
| NPI Last Update Date: | 01/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 0200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |