Organization
AMERICARE AMBULANCE SERVICE OF LAFAYETTE, LLC
Active
Other names
Americare Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY OTT (OWNER)
(317) 770-1100
Entity
Organization
Contact information
Practice address
3535 CROUCH ST STE A, LAFAYETTE, IN 47905-0741
(765) 449-7100
(765) 449-7125
Mailing address
8001 EAST 196TH STREET, NOBLESVILLE, IN 46062-9091
(317) 770-1100
(317) 770-7002
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0944
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200864260A
—
IN
01
—
P00407900
MEDICARE RAILROAD
IN
Enumeration date
05/25/2007
Last updated
12/13/2012
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