MEDICARE: ELI LILLY AND COMPANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	0520	IN

General Provider Information

NPI Number	:	1144461724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELI LILLY AND COMPANY

Provider Business Mailing Address
First Line	:	1400 W RAYMOND ST
Second Line	:	ELI LILLY CORPORATE CENTER
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46221-2004
Country	:	US
Telephone Number	:	317-276-4384
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 W RAYMOND ST
Second Line	:	ELI LILLY CORPORATE CENTER
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46221-2004
Country	:	US
Telephone Number	:	317-276-4384
Fax Number	:

Authorized Official
Title or Position	:	ERT ADMIN
Name	:	MS. BRENDA K MEREDITH
Credential	:
Telephone Number	:	317-276-4384

Provider Enumeration Date	:	03/12/2009
Last Update Date	:	03/12/2009

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