Organization · Type 2 NPI

Keener Civil Township Jasper County Ttee

Land Ambulance · Demotte, IN

NPI number 1215960463 Active

Practice location

708 15th St SE
Demotte, IN 46310

Call (219) 987-2021 Map

Mailing address

16900 N US Highway 231
Demotte, IN 46310-8369

Specialties and licenses

Taxonomy	Code	License
Land Ambulance Primary	3416L0300X	0034 (IN)

Land Ambulance: Definition to come...

NPI record

NPI: 1215960463
Entity type: Organization (Type 2)
Issued: Jul 9, 2006
Last updated: Aug 30, 2018
Status: Active

Other names

<unavail>
Keener Township Ambulance/ Ems · other name
Keener Township Ambulance/ Ems · other name

Authorized official

Mrs. Diana Marie Haberlin
Keener Township Trustee
(219) 987-7825

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1215960463

Keener Civil Township Jasper County Ttee's National Provider Identifier is 1215960463, issued on Jul 9, 2006. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Demotte, IN. The record was last updated on Aug 30, 2018.