Kurtis Dejong in Mishawaka - Emergency Medical Services
Kurtis Dejong - NPI 1184680159
Kurtis Dejong is a Emergency Medical Services in Mishawaka, Indiana. Kurtis Dejong practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for Kurtis Dejong is 1184680159. The last update date is 2011-12-16.
Kurtis Dejong's current location address is 5215 Holy Cross Pkwy, Mishawaka, Indiana. You can contact this provider via phone number 5743355000. The mailing address for Kurtis Dejong is 5215 Holy Cross Pkwy, Mishawaka, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kurtis Dejong |
|---|---|
| Address | 5215 Holy Cross Pkwy, Mishawaka, Indiana |
| Phone Number | 5743355000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1184680159 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2011-12-16 |
Provider Mailing Address Detail
| Address | 5215 Holy Cross Pkwy |
|---|---|
| City | Mishawaka |
| State | Indiana (IN) |
| Post Code | 465451469 |
| Phone Number | 5743355000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medical Services |
|---|---|
| Taxonomy | 207Pe0004X |
| Licence No | 1039621 |
|
Definition: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 930102831 | IN | RAIL ROAD MEDICARE | |
| 104943838 | MI | -- | |
| 190295 | IN | ANTHEM | |
| 200022520 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kurtis Dejong by the Centers for Medicare & Medicaid Services?
The Kurtis Dejong has been issued the NPI (National Provider Identifier) 1184680159, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kurtis Dejong is physically located?
The Kurtis Dejong is situated at the following address: 5215 Holy Cross Pkwy, Mishawaka, IN 465451469.
What is Kurtis Dejong's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kurtis Dejong is Emergency Medical Services, and the taxonomy code that categorizes this field of expertise is 207Pe0004X.
On what date did the Centers for Medicare & Medicaid Services issue the 1184680159 to Kurtis Dejong?
The Kurtis Dejong received its 1184680159 assignment from the Centers for Medicare & Medicaid Services on 2006-04-26.
When was the information regarding Kurtis Dejong most recently updated?
The details pertaining to the Kurtis Dejong, including its address, specialty, and other relevant information, were last refreshed on 2011-12-16.
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