Provider Demographics
NPI:1346419496
Name:HEARTSAVERS EMS LLC
Entity Type:Organization
Organization Name:HEARTSAVERS EMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:MUNS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN,EMT
Authorized Official - Phone:765-827-4010
Mailing Address - Street 1:3645 E MAIN ST # 168
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-5934
Mailing Address - Country:US
Mailing Address - Phone:765-827-4010
Mailing Address - Fax:765-827-4013
Practice Address - Street 1:625 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CONNERSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47331-0445
Practice Address - Country:US
Practice Address - Phone:765-827-4010
Practice Address - Fax:765-827-4013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-22
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1104341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200875720AMedicaid
IN252820Medicare PIN