# AMBULANCE ENTERPRISES, INC D/B/A INDIANA EMS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Indiana EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003812637
- **Authorized official:** MS. ROBIN I. ROBERTS (BILLING MGR.)
- **Authorized official phone:** (574) 289-0725

## Contact information

- **Practice address:** 2816 W. SAMPLE ST., SOUTH BEND, IN 46619-3230
- **Practice address phone:** (574) 289-0725
- **Practice address fax:** (579) 289-4662
- **Mailing address:** 2816 W. SAMPLE ST., SOUTH BEND, IN 46619-3230
- **Mailing address phone:** (574) 289-0725
- **Mailing address fax:** (579) 289-4662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | NULL | Yes |
| 3416L0300X | Land Ambulance | 0398 | IN | — |

## Other

- **Enumeration date:** 06/28/2005
- **Last updated:** 08/04/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100101400A | — | IN |
