Provider Demographics
NPI:1114990132
Name:TOWN OF ARGOS
Entity Type:Organization
Organization Name:TOWN OF ARGOS
Other - Org Name:ARGOS COMMUNITY AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DEPUTY CLERK
Authorized Official - Prefix:
Authorized Official - First Name:CANDI
Authorized Official - Middle Name:S
Authorized Official - Last Name:WELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-892-5717
Mailing Address - Street 1:PO BOX 2122
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:MI
Mailing Address - Zip Code:48193-1122
Mailing Address - Country:US
Mailing Address - Phone:800-926-6985
Mailing Address - Fax:734-479-6319
Practice Address - Street 1:101 S FIRST ST
Practice Address - Street 2:
Practice Address - City:ARGOS
Practice Address - State:IN
Practice Address - Zip Code:46501-1213
Practice Address - Country:US
Practice Address - Phone:574-892-5717
Practice Address - Fax:574-892-5717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-09
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01473416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100282260Medicaid
IN000000214551OtherBLUE CROSS BLUE SHIELD
IN000000214551OtherBLUE CROSS BLUE SHIELD