# NORTHWEST AMBULANCE SERVICES INC

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

## Provider details

- **NPI number:** 1578757290
- **Authorized official:** DR. BASIL NNAMDY UBANWA PHD (PRESIDIENT)
- **Authorized official phone:** (219) 756-6607

## Contact information

- **Practice address:** 100 W 79TH AVE, MERRILLVILLE, IN 46410-5439
- **Practice address phone:** (219) 756-6667
- **Mailing address:** 100 W 79TH AVE, MERRILLVILLE, IN 46410-5439
- **Mailing address phone:** (219) 756-6667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | PENDING | IN | Yes |
| 3416L0300X | Land Ambulance | PENDING (NEW APP) | IN | — |
| 343900000X | Non-emergency Medical Transport (VAN) | PENDING (NEW APP) | IN | — |

## Other

- **Enumeration date:** 09/06/2007
- **Last updated:** 10/16/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PENDING (NEW APPL) | — | IN |