Provider Demographics
NPI:1710201678
Name:LANDES MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:LANDES MEDICAL SERVICES LLC
Other - Org Name:LMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:LANDES
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:812-821-2919
Mailing Address - Street 1:3131 STULTZ RD
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:IN
Mailing Address - Zip Code:47460-5167
Mailing Address - Country:US
Mailing Address - Phone:812-821-2919
Mailing Address - Fax:
Practice Address - Street 1:3131 STULTZ RD
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:IN
Practice Address - Zip Code:47460-5167
Practice Address - Country:US
Practice Address - Phone:812-821-2919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-22
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1156341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance