Healthcare Provider Details

I. General information

NPI: 1184780090
Provider Name (Legal Business Name): REGIONAL EMERGENCY MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9835 EXPRESS DR
HIGHLAND IN
46322-2608
US

IV. Provider business mailing address

9835 EXPRESS DR
HIGHLAND IN
46322-2608
US

V. Phone/Fax

Practice location:
  • Phone: 219-934-1010
  • Fax: 219-924-3192
Mailing address:
  • Phone: 219-934-1010
  • Fax: 219-924-3192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0846
License Number StateIN

VIII. Authorized Official

Name: MR. GARY T MILLER
Title or Position: CEO
Credential:
Phone: 219-934-1010