Tippecanoe Emergency Ambulance Service

NPI 1063497121 - Ambulance - 3416L0300X

NPI Details
NPI 1063497121
Enumeration Date 12/13/2005
Last Updated 05/29/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ALLEN L. ALLEN
Position CEO
Phone (765) 423-6235
Fax (765) 423-6049
Practice Location
1501 HARTFORD ST
LAFAYETTE IN, 47904-2134, US
Phone (765) 423-6235
Fax (765) 423-6049
Business Location
PO BOX 5477
LAFAYETTE IN, 47903-5477, US
Phone (765) 423-6235
Fax
Toxanomy
Taxonomy Code 3416L0300X
License State Indiana
License Number 0007
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According to our database, Tippecanoe Emergency Ambulance Service NPI is 1063497121, taxonomy code is 3416L0300X and license number is 0007, license state is located at Indiana. Tippecanoe Emergency Ambulance Service physically located at 1501 Hartford St, Lafayette IN, 47904-2134. NPI Number 1033115704 has the healthcare provider type.

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1063497121 NPI number is provided on an as is basis without warranty of any kind. 1063497121 is maintained by the National Plan & Provider Enumeration System. The contents of Tippecanoe Emergency Ambulance Service are for informational purposes only.