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General NPI Number Information
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NPI Number | 1558681700
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Entity Type | Organization
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Legal Business Name | HEARTLAND AMBULANCE SERVICE, LLC
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Dates
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Enumeration Date | 06/09/2010
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 2105 W GODMAN AVE
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City | MUNCIE
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State | IN
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Zip | 47303-4746
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Country | US
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Telephone | 409-832-0272
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Fax | 866-206-2306
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Provider Business Mailing Address
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Address Line | PO BOX 787
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City | PORT NECHES
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State | TX
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Zip | 77651-0787
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Country | US
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Telephone | 502-619-8839
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Fax | 866-206-2306
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Authorized Official
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Title or Position | MANAGER
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Name | MR. KEN JACKSON
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Credential |
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Telephone | 765-863-5150
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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 |
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License Number State |
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