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Organization
AMERICARE AMBULANCE SERVICE OF LAFAYETTE, LLC
Active
Organization
AMERICARE AMBULANCE SERVICE OF LAFAYETTE, LLC
Active
Other names
Americare Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY OTT (OWNER)
(317) 770-1100
Entity
Organization
Contact information
Practice address
3535 CROUCH ST STE A, LAFAYETTE, IN 47905-0741
(765) 449-7100
(765) 449-7125
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
0944
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200864260A
—
IN
01
—
P00407900
MEDICARE RAILROAD
IN
Enumeration date
05/25/2007
Last updated
12/13/2012
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