Provider Demographics
NPI:1871784173
Name:PULASKI COUNTY AUDITOR
Entity type:Organization
Organization Name:PULASKI COUNTY AUDITOR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:DELORENZO
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:574-946-0361
Mailing Address - Street 1:112 E MAIN ST ROOM 200
Mailing Address - Street 2:
Mailing Address - City:WINAMAC
Mailing Address - State:IN
Mailing Address - Zip Code:46399
Mailing Address - Country:US
Mailing Address - Phone:574-946-3653
Mailing Address - Fax:574-946-3896
Practice Address - Street 1:606 W SUMMIT ST
Practice Address - Street 2:
Practice Address - City:WINAMAC
Practice Address - State:IN
Practice Address - Zip Code:46996-1269
Practice Address - Country:US
Practice Address - Phone:574-946-0360
Practice Address - Fax:574-946-0363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN6606261341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance