| Phoenix Paramedic Solutions, Llc | |
|
1600 Kepner Dr Ste E Lafayette IN 47905-7436 | |
| (765) 448-4327 | |
| (765) 448-4694 |
| Full Name | Phoenix Paramedic Solutions, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1600 Kepner Dr Ste E, Lafayette, Indiana |
| Authorized Official Name and Position | Nathaniel A Metz (PRESIDENT/CEO) |
| Authorized Official Contact | 7654484327 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Paramedic Solutions, Llc 1600 Kepner Dr Ste E Lafayette IN 47905-7436 Ph: (765) 448-4327 | Phoenix Paramedic Solutions, Llc 1600 Kepner Dr Ste E Lafayette IN 47905-7436 Ph: (765) 448-4327 |
| NPI Number | 1184273450 |
|---|---|
| Provider Enumeration Date | 09/09/2019 |
| Last Update Date | 09/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184273450 | NPI | - | NPPES |
| 429362 | Other | IN | MOTOR CARRIER |
| 1250 | Other | IN | STATE EMS COMMSION: EMS PROVIDER |
| 300012385 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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