Provider Demographics
NPI:1598835076
Name:FOUNTAIN COUNTY AUDITOR
Entity Type:Organization
Organization Name:FOUNTAIN COUNTY AUDITOR
Other - Org Name:FOUNTAIN COUNTY AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GARTH
Authorized Official - Middle Name:
Authorized Official - Last Name:KAGELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-294-2522
Mailing Address - Street 1:409 EAST 50 SOUTH
Mailing Address - Street 2:
Mailing Address - City:VEEDERSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47987-8542
Mailing Address - Country:US
Mailing Address - Phone:765-294-2522
Mailing Address - Fax:765-294-0063
Practice Address - Street 1:409 EAST 50 SOUTH
Practice Address - Street 2:
Practice Address - City:VEEDERSBURG
Practice Address - State:IN
Practice Address - Zip Code:47987-8542
Practice Address - Country:US
Practice Address - Phone:765-294-2522
Practice Address - Fax:765-294-0063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance