Provider Demographics
NPI:1871882381
Name:HOOSIER EMS WHEELCHAIR TRANSPORTATION INC
Entity type:Organization
Organization Name:HOOSIER EMS WHEELCHAIR TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:BITTERLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-278-7120
Mailing Address - Street 1:6817 E STATE ROAD 16
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:IN
Mailing Address - Zip Code:47960-7289
Mailing Address - Country:US
Mailing Address - Phone:574-278-7120
Mailing Address - Fax:
Practice Address - Street 1:6817 E STATE ROAD 16
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:IN
Practice Address - Zip Code:47960-7289
Practice Address - Country:US
Practice Address - Phone:574-278-7120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN2053666341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance