# AMERICARE AMBULANCE SERVICE OF INDIANA LLC

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

## Provider details

- **NPI number:** 1245538867
- **Authorized official:** MR. BRADLEY A OTT (CEO/OWNER)
- **Authorized official phone:** (317) 770-1100

## Contact information

- **Practice address:** 8001 E 196TH ST, NOBLESVILLE, IN 46062-9091
- **Practice address phone:** (317) 770-1100
- **Practice address fax:** (317) 770-7002
- **Mailing address:** 8001 E 196TH ST, NOBLESVILLE, IN 46062-9091
- **Mailing address phone:** (317) 770-1100
- **Mailing address fax:** (317) 770-7002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 2369 | IN | Yes |

## Other

- **Enumeration date:** 03/07/2011
- **Last updated:** 12/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201046460A | — | IN |
| 01 | — | M300045133 | MEDICARE PTAN | IN |
| 01 | — | P01053097 | RAILROAD MEDICARE | IN |