Organization
CARE AMBULANCE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY RHODES (CONTROLLER)
(502) 214-7359
Entity
Organization
Contact information
Practice address
1202 W 16TH STREET, INDIANAPOLIS, IN 46202
(502) 214-7359
(502) 214-7441
Mailing address
PO BOX 2107, LOUISVILLE, KY 40201
(502) 214-7359
(502) 214-7441
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0637
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000189081
ANTHEM BCBS
—
05
—
200258810
—
IN
Enumeration date
08/17/2005
Last updated
10/30/2015
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