Three Rivers Ambulance Authority

LBN: Three Rivers Ambulance Authority
Three Rivers Ambulance Authority is an health care organization with primary practice located at 525 Hayden St , Fort Wayne IN 46802-3550. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Three Rivers Ambulance Authority can be contacted via phone (260) 420-6500, or through Benz, Joel via phone (260) 420-6500.

Contact Information

Primary practice address
525 Hayden St Fort Wayne IN 46802-3550
Fax:
Website:
Authorized official contact:
Name: Benz, Joel

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 0114 Indiana

Profile Details

NPI number 1861499139
LBN Legal business name Three Rivers Ambulance Authority
DBA Doing business as
Authorized official Benz, Joel
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2005
Last updated Mar 1st, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861499139 NPPES
Indiana Other 0114 STATE EMS PROVIDER CERT
Indiana MEDICAID 100288230A STATE EMS PROVIDER CERT

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