# AMERICARE AMBULANCE SERVICE LLC

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

## Provider details

- **NPI number:** 1871546713
- **Authorized official:** MR. BRADLEY A OTT (OWNER)
- **Authorized official phone:** (317) 770-1100

## Contact information

- **Practice address:** 1116 S LEEDS ST, KOKOMO, IN 46902-6226
- **Practice address phone:** (765) 434-5155
- **Practice address fax:** (765) 453-5429
- **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 | 0890 | IN | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 12/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000360581 | ANTHEM | — |
| 05 | — | 200506150A | — | IN |
| 05 | — | 200849560A | — | IN |
| 01 | — | P00264119 | MEDICARE RR | — |