Organization
PHYSICIAN AMBULANCE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA M KEYWOOD (PRESIDENT MANAGING PARTNER)
(317) 813-9595
Entity
Organization
Contact information
Practice address
2667 RAND RD, INDIANAPOLIS, IN 46241-5501
(317) 813-9595
(502) 531-0103
Mailing address
2667 RAND RD, INDIANAPOLIS, IN 46241-5501
(317) 746-6440
(502) 531-0103
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1225
IN
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201380960A
—
IN
Enumeration date
05/24/2016
Last updated
05/19/2021
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