Healthcare Provider Details

I. General information

NPI: 1891804167
Provider Name (Legal Business Name): MILROY EMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 06/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 W MAIN ST
MILROY IN
46156-9405
US

IV. Provider business mailing address

PO BOX 2915
ELKHART IN
46515-2915
US

V. Phone/Fax

Practice location:
  • Phone: 765-629-2172
  • Fax: 765-629-2000
Mailing address:
  • Phone: 574-293-3030
  • Fax: 574-294-1345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0266
License Number StateIN

VIII. Authorized Official

Name: DARCY CONLEY
Title or Position: BOARD PRESIDENT
Credential:
Phone: 765-629-2172