Organization
AMERICARE AMBULANCE SERVICE OF INDIANAPOLIS LLC
Active
Other names
Americare Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY A OTT (OWNER)
(317) 770-1100
Entity
Organization
Contact information
Practice address
8001 EAST 196TH STREET, NOBLESVILLE, IN 46062-9091
(317) 770-1100
(317) 770-7002
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
1133
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000644403
ANTHEM
IN
05
—
200940560A
—
IN
01
—
259590
MEDICARE
IN
01
—
P00871698
RAILROAD MEDICARE
IN
Enumeration date
12/23/2008
Last updated
12/13/2012
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