Ambulance Enterprises, Inc D/B/a Indiana EMS

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

AMBULANCE ENTERPRISES, INC D/B/A INDIANA EMS

Doing business as

Indiana EMS

Practice address

2816 W. Sample St.
South Bend, IN 46619-3230

Phone

(574) 289-0725

Fax

(579) 289-4662

NPI assigned

Jun 28, 2005

Last updated

Aug 4, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Robin I. Roberts

Title

Billing MGR.

Phone

(574) 289-0725

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Indiana EMS Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1003812637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 W. SAMPLE ST.",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466193230",
            "telephone_number": "574-289-0725",
            "fax_number": "579-289-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 W. SAMPLE ST.",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466193230",
            "telephone_number": "574-289-0725",
            "fax_number": "579-289-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULANCE ENTERPRISES, INC D/B/A INDIANA EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "BILLING MGR.",
        "authorized_official_telephone_number": "574-289-0725",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0398",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100101400A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indiana EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in South Bend, IN
• Providers in South Bend, IN by specialty
• Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.