PHYSICIANS AMBULANCE SERVICE OF INDIANA, LLC (NPI# 1073113759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073113759 |
Entity Type | Organization |
Organization Name | PHYSICIANS AMBULANCE SERVICE OF INDIANA, LLC |
Practice Address |
4038 Park 65 Dr Indianapolis IN 46254-2500 |
Mailing Address |
274 Highway 44 E Unit 2 Shepherdsville KY 40165-4001 |
Practice Telephone | 5026198839 |
Practice Fax Number | 5025310103 |
Mailing Telephone | 5026198839 |
Mailing Fax Number | 5025300103 |
Enumeration Date | 2020-10-30 |
Last Update Date | 2020-10-30 |
Authorized Official Name | MR. KENNETH JACKSON (PRESIDENT MANAGING PARTNER) |
Authorized Official Telephone | 7658637033 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
Other Name | Type Code |
---|---|
Physicians Ambulance Service | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
3305 Nichol Ave, Anderson, IN 460113001 | 5026198839 | 5025310103 |
408 W Air Park Dr, Muncie, IN 473031886 | 7658635150 | 7658635150 |
Street Address |
4038 PARK 65 DR |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46254-2500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003979675 | Action Ambulance | Ambulance | 4038 Park 65 Dr, Indianapolis, IN 46254-2500 | 2006-12-18 |
1730657255 | Physicians Ambulance Service 2 LLC | Non-emergency Medical Transport (VAN) | 4038 Park 65 Dr, Indianapolis, IN 46254-2500 | 2018-11-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
Find all providers in zip 46254 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861918849 | Corey Simmons | Ambulance | 3659 N Temple Ave, Indianapolis, IN 46218 | 2017-08-21 |
1487198842 | C & C Transportation Services | Ambulance | 5726 Roxbury Cir, Indianapolis, IN 46226-1543 | 2016-12-05 |
1346697901 | Physician Ambulance Services LLC | Ambulance | 4038 Park 65 Drive, Indianapolis, IN 46254-2500 | 2016-05-24 |
1417361254 | Resq Ambulance LLC | Ambulance | 6845 Madison Ave, Indianapolis, IN 46227-5056 | 2014-06-19 |
1497166052 | Grays Transportation LLC | Ambulance | 3639 Kaelyn Way, Indianapolis, IN 46228-7230 | 2014-05-16 |
1144547514 | All Access Ems | Ambulance | 5734 Michigan Rd, Indianapolis, IN 46228-1729 | 2010-04-26 |
1891024535 | Eli Lilly and Company | Ambulance | Lilly Corporate Center Dc3416, Indianapolis, IN 46285-0001 | 2009-12-09 |
1144461724 | Eli Lilly and Company | Ambulance | 1400 W Raymond St, Eli Lilly Corporate Center, Indianapolis, IN 46221-2004 | 2009-03-12 |
1235152240 | Wayne Township Marion Co Office of Trustee | Ambulance | 700 N High School Rd, Indianapolis, IN 46214-3756 | 2006-07-25 |
1689104259 | The Health and Hospital Corporation of Marion County | Ambulance | 720 Eskenazi Avenue, Indianapolis, IN 46202-5166 | 2017-06-15 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46254 |
Please comment or provide details below to improve the information on PHYSICIANS AMBULANCE SERVICE OF INDIANA, LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.