# STAT AMBULANCE INC

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

## Provider details

- **NPI number:** 1760501969
- **Authorized official:** MR. ANDREW JASON VEST (VICE PRESIDENT)
- **Authorized official phone:** (812) 379-9111

## Contact information

- **Practice address:** 1704 CENTRAL AVE, COLUMBUS, IN 47201-5326
- **Practice address phone:** (812) 379-9111
- **Practice address fax:** (812) 379-9539
- **Mailing address:** 1704 CENTRAL AVE, COLUMBUS, IN 47201-5326
- **Mailing address phone:** (812) 379-9111
- **Mailing address fax:** (812) 379-9539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 0541 | IN | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | 29203-A | IN | — |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 01/05/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000192165 | ANTHEM | IN |
| 05 | — | 200147760A | — | IN |
| 01 | — | 590012348 | PALMETTO GOV'T SERVICES | IN |