Healthcare Provider Details

I. General information

NPI: 1255321550
Provider Name (Legal Business Name): MULTI TOWNSHIP EMERGENCY MEDICAL SERVICES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 04/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2304 E CENTER ST
WARSAW IN
46580-3814
US

IV. Provider business mailing address

PO BOX 736
WARSAW IN
46581-0736
US

V. Phone/Fax

Practice location:
  • Phone: 574-269-1975
  • Fax: 574-453-4276
Mailing address:
  • Phone: 574-269-1975
  • Fax: 574-453-4276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number0243
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0243
License Number StateIN

VIII. Authorized Official

Name: JO A DISBRO
Title or Position: CFO
Credential:
Phone: 574-269-1975