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General NPI Number Information
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NPI Number | 1215973888
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Entity Type | Organization
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Legal Business Name | STATEWIDE TRANSFER AMBULANCE AND RESCUE, INC.
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 506 LAFAYETTE AVE.
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City | CRAWFORDSVILLE
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State | IN
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Zip | 47933
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Country | US
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Telephone | 765-364-3265
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Fax | 855-952-5827
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Provider Business Mailing Address
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Address Line | PO BOX 444
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City | CRAWFORDSVILLE
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State | IN
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Zip | 47933
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Country | US
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Telephone | 765-364-3265
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Fax | 855-952-5827
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Authorized Official
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Title or Position | CFO
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Name | JARRETT ANDREW SMART
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Credential |
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Telephone | 765-364-3265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 0200
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License Number State | IN
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