=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144229907
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FRANKLIN COUNTY EMERGENCY MEDICAL SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/14/2005
-----------------------------------------------------
Last Update Date | 04/13/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 608 7TH STREET
-----------------------------------------------------
City | BROOKVILLE
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47012-1202
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 765-647-0234
-----------------------------------------------------
Fax | 765-647-4734
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 392907
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15251-9900
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-962-1484
-----------------------------------------------------
Fax | 513-772-4464
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF
-----------------------------------------------------
Name | ROY ROSENBERGER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 765-647-0234
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 341600000X
-----------------------------------------------------
Taxonomy Name | Ambulance
-----------------------------------------------------
License Number | 0108
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------