# HEALTHCARE SERVICE MANAGEMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174993570
- **Authorized official:** MORRIS D LONG (CEO)
- **Authorized official phone:** (317) 870-1396

## Contact information

- **Practice address:** 2725 ENTERPRISE DR, ANDERSON, IN 46013-9670
- **Practice address phone:** (765) 374-6044
- **Practice address fax:** (765) 374-6043
- **Mailing address:** 8465 KEYSTONE XING STE 210, INDIANAPOLIS, IN 46240-4354
- **Mailing address phone:** (317) 870-1396
- **Mailing address fax:** (317) 342-9771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | TK713MWE | IN | Yes |

## Other

- **Enumeration date:** 09/29/2015
- **Last updated:** 08/23/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1215 | STATE CERTIFICATION | IN |