MILAN RESCUE 30 INC. (NPI# 1508975863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508975863 |
Entity Type | Organization |
Organization Name | MILAN RESCUE 30 INC. |
Practice Address |
212 Maple Street Milan IN 47031 |
Mailing Address |
Po Box 2915 Elkhart IN 46515-2915 |
Practice Telephone | 8126542848 |
Mailing Telephone | 5742933030 |
Mailing Fax Number | 5742941345 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2008-06-17 |
Authorized Official Name | JON NICHOLS (BOARD PRESIDENT) |
Authorized Official Telephone | 8126542842 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
0403 | IN | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RRMC PTAN | P00164855 | 01 | |
IN | ANTHEM | 000000303793 | 01 |
IN | 100182320A | 05 |
Street Address |
212 MAPLE STREET |
City | MILAN |
State | IN |
Zip Code | 47031 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780136598 | Justin Volk | Behavior Technician | 4382 North Old Milan Rd, Milan, IN 47031 | 2016-10-27 |
1932492188 | Amy Jean Works | Nurse Practitioner | 124 W Indian Trl Ste B, Milan, IN 47031 | 2011-05-20 |
1306175674 | Bridget Cottet Erickson | Occupational Therapist | 601 East Carr St, Milan, IN 47031 | 2009-12-16 |
1275760688 | Hoosier Dental Care LLC | Dentist | 301 North Warpath Drive, Milan, IN 47031 | 2009-06-12 |
1821116526 | Rescare Inc | Intermediate Care Facility, Mentally Retarded | 307 Josephine St, Milan, IN 47031 | 2007-03-27 |
1720194467 | Larry Lee Barlow | Dentist | 301 North Warpath Dr, Milan, IN 47031 | 2006-08-23 |
1811070238 | James Arthur Drummond | General Practice | 8575 East Old State Road 350, Milan, IN 47031-0757 | 2006-10-21 |
1194806281 | Dlr Investments, Inc. | Nursing Facility/Intermediate Care Facility | 1200 Whitlatch Way, Milan, IN 47031-8343 | 2006-10-17 |
1861767246 | Dearborn County Hospital | Skilled Nursing Facility | 1200 Whitlatch Way, Milan, IN 47031-8362 | 2012-03-19 |
1548576531 | Katie M Davis | Nurse Practitioner | 930 N Main St, Milan, IN 47031-8827 | 2010-08-27 |
Find all providers in zip 47031 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.