PHOENIX PARAMEDIC SOLUTIONS, LLC (NPI# 1710492939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710492939 |
| Entity Type | Organization |
| Organization Name | PHOENIX PARAMEDIC SOLUTIONS, LLC |
| Other Organization Name | PROMPT AMBULANCE CENTRAL |
| Practice Address |
1600 Kepner Dr Ste E Lafayette IN 47905-7436 |
| Practice Telephone | 7654484327 |
| Practice Fax Number | 7654484694 |
| Mailing Telephone | 7654484327 |
| Mailing Fax Number | 7654484694 |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |
| Authorized Official Name | MR. NATHANIEL A METZ (PRESIDENT) |
| Authorized Official Telephone | 7654484327 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | EMERGENCY MEDICAL SERVICES COMMISSION | 1250 | 01 |
| Other Name | Type Code |
|---|---|
| Prompt Ambulance Central | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273450 | Phoenix Paramedic Solutions, LLC | Community/Behavioral Health | 1600 Kepner Dr Ste E, Lafayette, IN 47905-7436 | 2019-09-09 |
| Street Address |
1600 KEPNER DR STE E |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-7436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273450 | Phoenix Paramedic Solutions, LLC | Community/Behavioral Health | 1600 Kepner Dr Ste E, Lafayette, IN 47905-7436 | 2019-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| 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 |
|---|---|---|---|---|
| 1386942639 | City of Lafayette | Ambulance | 800 Main Ave., Lafayette, MN 56054 | 2011-03-10 |
| 1154561058 | Wea Township Community Fire Department | Ambulance | 1700 Wea School Rd, Lafayette, IN 47909-9041 | 2009-03-05 |
| 1568526820 | Jackson Township Board of Trustees | Ambulance | 215 E. Sugar Street, Lafayette, OH 45854 | 2006-12-21 |
| 1285701292 | City of Lafayette | Ambulance | 401 North 111th Street, Lafayette, CO 80026-0068 | 2006-11-29 |
| 1497837421 | Roger Vines LLC | Ambulance | 211 B St, Lafayette, AL 36862-2095 | 2006-10-19 |
| 1528169216 | City of Lafayette Ems | Ambulance | 56 2nd Ave Sw, Lafayette, AL 36862-1945 | 2006-09-26 |
| 1285745356 | County of Macon - Office of County Executive | Ambulance | 30 Weldon Dr., Lafayette, TN 37083 | 2006-08-31 |
| 1063497121 | Tippecanoe Emergency Ambulance Service | Ambulance | 1501 Hartford St, Lafayette, IN 47904-2134 | 2005-12-13 |
| 1316943566 | Acadian Ambulance Service, Inc. | Ambulance | 130 E Kaliste Saloom Rd, Lafayette, LA 70508-8308 | 2005-06-22 |
| 1770859175 | Prompt Ambulance Central, Inc. | Ambulance | 1600 Kepner Dr, Suite E, Lafayette, IN 47905-7427 | 2012-03-29 |
| Find all providers in LAFAYETTE | ||||
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| 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.