MEDICARE: MULTI TOWNSHIP EMERGENCY MEDICAL SERVICES CORPORATION

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	0243	IN
2	341600000X	Ambulance	0243	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	791590318	OTHER		RR MEDICARE
3	979790	OTHER		MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255321550
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MULTI TOWNSHIP EMERGENCY MEDICAL SERVICES CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 736
Second Line	:
City	:	WARSAW
State	:	IN
Zip	:	46581-0736
Country	:	US
Telephone Number	:	574-269-1975
Fax Number	:	574-453-4276

Provider Business Practice Location Address
First Line	:	2304 E CENTER ST
Second Line	:
City	:	WARSAW
State	:	IN
Zip	:	46580-3814
Country	:	US
Telephone Number	:	574-269-1975
Fax Number	:	574-453-4276

Authorized Official
Title or Position	:	CFO
Name	:	JO A DISBRO
Credential	:
Telephone Number	:	574-269-1975

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	04/01/2013

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Directions to “MULTI TOWNSHIP EMERGENCY MEDICAL SERVICES CORPORATION ” Practice Location

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