Provider Demographics
NPI:1376598078
Name:GRANT COUNTY AUDITOR
Entity Type:Organization
Organization Name:GRANT COUNTY AUDITOR
Other - Org Name:GRANT COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING ADMINSTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:HARNESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-674-6592
Mailing Address - Street 1:401 S ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IN
Mailing Address - Zip Code:46953-2037
Mailing Address - Country:US
Mailing Address - Phone:765-674-6592
Mailing Address - Fax:765-674-7037
Practice Address - Street 1:3921 S GARTHWAITE RD
Practice Address - Street 2:
Practice Address - City:GAS CITY
Practice Address - State:IN
Practice Address - Zip Code:46933-1155
Practice Address - Country:US
Practice Address - Phone:765-674-6592
Practice Address - Fax:765-674-7037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN03323416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000184723OtherEMERGENCY AMBULANCE SERVI
IN100287040Medicaid
IN985240Medicare PIN