| Organization Name: | PMH AMBULANCE INC |
| NPI Number: | 1265422984 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANA L POOLE (TREASURER) |
| Mailing Address: | 202 N Indiana St Roachdale |
| State: | IN US |
| Postal Code: | 46172 |
| Phone Number: | 7655221066 |
| Fax Number: | 7655221766 |
| NPI Enumeration Date: | 10/25/2005 |
| NPI Last Update Date: | 08/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 0157 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |