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Organization
AMERICARE AMBULANCE SERVICE OF BRADLEY A OTT MBR
Active
Organization
AMERICARE AMBULANCE SERVICE OF BRADLEY A OTT MBR
Active
Other names
Americare Ambulance Service of Muncie
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY A. OTT (OWNER)
(317) 770-1100
Entity
Organization
Contact information
Practice address
4651 W WOODS EDGE LN, SUITE # 4, MUNCIE, IN 47304-6088
(765) 863-9115
(765) 282-8677
Mailing address
8001 EAST 196TH STREET, NOBLESVILLE, IN 46062-9091
(317) 770-1100
(317) 770-7002
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1111
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000598025
ANTHEM
IN
05
—
200888630A
—
IN
01
—
P00706044
RAILROAD MEDICARE
IN
Enumeration date
12/24/2007
Last updated
12/13/2012
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