Organization
AMERICARE MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY A. OTT III (OWNER)
(317) 984-4100
Entity
Organization
Contact information
Practice address
3535 CROUCH ST, UNIT A, LAFAYETTE, IN 47905-0748
(765) 449-7100
Mailing address
110 W. JACKSON ST., CICERO, IN 46034-9261
(317) 984-4100
(317) 984-4111
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
64519
IN
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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