Organization
AMERICARE AMBULANCE SERVICE 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
1116 S LEEDS ST, KOKOMO, IN 46902-6226
(765) 434-5155
(765) 453-5429
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
0890
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360581
ANTHEM
—
05
—
200506150A
—
IN
05
—
200849560A
—
IN
01
—
P00264119
MEDICARE RR
—
Enumeration date
05/19/2006
Last updated
12/13/2012
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