# AMERICARE AMBULANCE SERVICE OF LAFAYETTE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Americare Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558572941
- **Authorized official:** MR. BRADLEY OTT (OWNER)
- **Authorized official phone:** (317) 770-1100

## Contact information

- **Practice address:** 3535 CROUCH ST STE A, LAFAYETTE, IN 47905-0741
- **Practice address phone:** (765) 449-7100
- **Practice address fax:** (765) 449-7125
- **Mailing address:** 8001 EAST 196TH STREET, 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 | 0944 | IN | Yes |

## Other

- **Enumeration date:** 05/25/2007
- **Last updated:** 12/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200864260A | — | IN |
| 01 | — | P00407900 | MEDICARE RAILROAD | IN |