Provider Demographics
NPI:1457361552
Name:WELLS COUNTY EMS, INC.
Entity Type:Organization
Organization Name:WELLS COUNTY EMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:L
Authorized Official - Last Name:PIEPENBRINK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-827-0166
Mailing Address - Street 1:PO BOX 321
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:IN
Mailing Address - Zip Code:46714
Mailing Address - Country:US
Mailing Address - Phone:260-827-0166
Mailing Address - Fax:260-827-0031
Practice Address - Street 1:140 W SPRING ST
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:IN
Practice Address - Zip Code:46714-3634
Practice Address - Country:US
Practice Address - Phone:260-827-0166
Practice Address - Fax:260-827-0031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2017-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07073416L0300X
07073416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200290180Medicaid
IN200290180AMedicaid
169200Medicare PIN