Organization
PROMPT AMBULANCE CENTRAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY T MILLER (PRESIDENT)
(219) 838-4444
Entity
Organization
Contact information
Practice address
1600 KEPNER DR, SUITE E, LAFAYETTE, IN 47905-7427
(765) 448-4327
(765) 448-4694
Mailing address
1600 KEPNER DRIVE, SUITE E, LAFAYETTE, IN 47905
(765) 448-4327
(765) 448-4694
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0150
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201062000A
—
IN
01
—
P01089849
RAILROAD MEDICARE
IN
Enumeration date
03/29/2012
Last updated
11/01/2016
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