MEDICARE: PUTNAM COUNTY EMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1750925921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PUTNAM COUNTY EMS

Provider Business Mailing Address
First Line	:	PO BOX 56002
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46256-0002
Country	:	US
Telephone Number	:	317-775-6753
Fax Number	:	317-849-6632

Provider Business Practice Location Address
First Line	:	513 S BLOOMINGTON ST
Second Line	:
City	:	GREENCASTLE
State	:	IN
Zip	:	46135-2113
Country	:	US
Telephone Number	:	765-655-4121
Fax Number	:

Authorized Official
Title or Position	:	DEPUTY CHIEF
Name	:	MR. ANTHONY JOSEPH TAYLOR
Credential	:	MPH, NRP, PI
Telephone Number	:	765-653-3600

Provider Enumeration Date	:	10/31/2019
Last Update Date	:	04/04/2024

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Directions to “PUTNAM COUNTY EMS ” Practice Location

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