Provider Demographics
NPI:1881602126
Name:VOLUNTEER AMBULANCE SERVICE INC
Entity type:Organization
Organization Name:VOLUNTEER AMBULANCE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HUFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-379-2999
Mailing Address - Street 1:PO BOX 50
Mailing Address - Street 2:
Mailing Address - City:ROSSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46065-0050
Mailing Address - Country:US
Mailing Address - Phone:765-379-2999
Mailing Address - Fax:765-379-2458
Practice Address - Street 1:50 E NORTH ST
Practice Address - Street 2:
Practice Address - City:ROSSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46065
Practice Address - Country:US
Practice Address - Phone:765-379-2999
Practice Address - Fax:765-379-2458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0140207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100281550AMedicaid
IN100281550AMedicaid