Organization
STAT AMBULANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW JASON VEST (VICE PRESIDENT)
(812) 379-9111
Entity
Organization
Contact information
Practice address
1704 CENTRAL AVE, COLUMBUS, IN 47201-5326
(812) 379-9111
(812) 379-9539
Mailing address
1704 CENTRAL AVE, COLUMBUS, IN 47201-5326
(812) 379-9111
(812) 379-9539
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0541
IN
343900000X
Non-emergency Medical Transport (VAN)
29203-A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000192165
ANTHEM
IN
05
—
200147760A
—
IN
01
—
590012348
PALMETTO GOV'T SERVICES
IN
Enumeration date
03/28/2007
Last updated
01/05/2011
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