Healthcare Provider Details

I. General information

NPI: 1821226796
Provider Name (Legal Business Name): CRAWFORDSVILLE EMERGENCY AMBULANCE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2009
Last Update Date: 04/22/2022
Certification Date: 04/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 S WATER ST
CRAWFORDSVILLE IN
47933-2533
US

IV. Provider business mailing address

PO BOX 50249
INDIANAPOLIS IN
46250-0249
US

V. Phone/Fax

Practice location:
  • Phone: 765-362-1277
  • Fax: 765-364-5177
Mailing address:
  • Phone: 317-849-6628
  • Fax: 317-849-6632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number0002
License Number StateIN

VIII. Authorized Official

Name: TODD D. BARTON
Title or Position: ASST. FIRE CHIEF/AMBULANCE DIRECTOR
Credential:
Phone: 317-775-6753