MEDICARE: JACKSON TWP EMERGENCY AMBULANCE SERVICE, INC.

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	0136	IN

General Provider Information

NPI Number	:	1639106156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JACKSON TWP EMERGENCY AMBULANCE SERVICE, INC.

Provider Business Mailing Address
First Line	:	PO BOX 2122
Second Line	:
City	:	RIVERVIEW
State	:	MI
Zip	:	48193-1122
Country	:	US
Telephone Number	:	734-479-6300
Fax Number	:	734-479-6319

Provider Business Practice Location Address
First Line	:	19153 COUNTY ROAD 146
Second Line	:
City	:	NEW PARIS
State	:	IN
Zip	:	46553-9100
Country	:	US
Telephone Number	:	574-831-4431
Fax Number	:	574-831-4431

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. EMIL BRONI
Credential	:	BASIC EMT
Telephone Number	:	574-831-4431

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	09/06/2007

Similar Medicare Providers

1932193380 — CHAD E SMOKER MD
Practice Location Address:

68370 CLINTON ST
NEW PARIS, IN
46553-9235

Practice Phone: 574-831-5440
Practice Fax:

1750351086 — DR. EDWARD W BOYTS MD
Practice Location Address:

68370 CLINTON STREET , POST OFFICE BOX 48
NEW PARIS, IN
46553

Practice Phone: 574-831-5440
Practice Fax: 574-831-6922

1790791986 — DR. LAURA A. MARKLEY D.D.S.
Practice Location Address:

67470 FERNBROOK RD
NEW PARIS, IN
46553-9183

Practice Phone: 574-831-4477
Practice Fax: 574-831-4488

1154496305 — MINTER NUTRITION SERVICES, INC.
Practice Location Address:

20111 REGINA RD
NEW PARIS, IN
46553-9632

Practice Phone: 574-202-0704
Practice Fax: 574-831-6795

1134348188 — MS. KARLA JEAN MINTER MPH, RD, CD
Practice Location Address:

20111 REGINA RD
NEW PARIS, IN
46553-9632

Practice Phone: 574-202-0704
Practice Fax: 574-831-6795

1538396734 — MRS. SHANDA KAYE BRANNEMAN M.A. CCC-SLP
Practice Location Address:

20400 FALCON BROOK CT
NEW PARIS, IN
46553-9233

Practice Phone: 574-831-6173
Practice Fax:

Directions to “JACKSON TWP EMERGENCY AMBULANCE SERVICE, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.