Active NPI
Action Ambulance
- Ambulance
- Indianapolis, IN
National Provider Identifier
1003979675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 0481
- Legal business name
- ACTION AMBULANCE
- Practice address
- 4038 Park 65 Dr
Indianapolis, IN 46254-2500 - Phone
- (317) 481-9000
- Fax
- (317) 481-9002
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Stuart O'Daniel
- Title
- Cfo
- Phone
- (502) 619-8839
National Provider Directory
National Provider DirectoryLocations
21 N Alton Ave
Indianapolis, IN 46222
Phone (317) 481-9000
5647 Dividend Rd
#A
Indianapolis, IN 46241
Phone (317) 481-9000
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 0481 | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4038 Park 65 Dr
Indianapolis, IN 46254-2500
Mailing address
274 Hwy 44 East
Unit 2
Shepherdsville, KY 40165
Phone (502) 619-8839
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200047550A | Medicaid | IN |
Other names 1
NPPES NPI Registry- Integrated Transportation Solutions, LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 2, 2017.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485993600000",
"number": "1003979675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "274 HWY 44 EAST",
"address_2": "UNIT 2",
"city": "SHEPHERDSVILLE",
"state": "KY",
"postal_code": "40165",
"telephone_number": "502-619-8839",
"fax_number": "502-531-0103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4038 PARK 65 DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462542500",
"telephone_number": "317-481-9000",
"fax_number": "317-481-9002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTION AMBULANCE",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2017-02-02",
"status": "A",
"authorized_official_last_name": "O'DANIEL",
"authorized_official_first_name": "STUART",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "502-619-8839",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "IN",
"license": "0481",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200047550A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Integrated Transportation Solutions, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.