Americare Ambulance Service of Bradley a Ott MBR

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1111 Issued in IN

Legal business name

AMERICARE AMBULANCE SERVICE OF BRADLEY A OTT MBR

Doing business as

Americare Ambulance Service of Muncie

Practice address

4651 W Woods Edge LN
Suite # 4
Muncie, IN 47304-6088

Phone

(765) 863-9115

Fax

(765) 282-8677

NPI assigned

Dec 24, 2007

Last updated

Dec 13, 2012By 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

Mr. Bradley A. Ott

Title

Owner

Phone

(317) 770-1100

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Americare Ambulance Service of Muncie Doing business as

Locations

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1033393285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 EAST 196TH STREET",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460629091",
            "telephone_number": "317-770-1100",
            "fax_number": "317-770-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 W WOODS EDGE LN",
            "address_2": "SUITE # 4",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473046088",
            "telephone_number": "765-863-9115",
            "fax_number": "765-282-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICARE AMBULANCE SERVICE OF BRADLEY A OTT MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-770-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": "1111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200888630A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00706044",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000598025",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Americare Ambulance Service of Muncie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• American Health Network of Indiana, LLC
• American Health Network of Indiana, LLC
• American Health Network of Indiana, LLC
• American Health Network of Indiana, LLC
• American Health Network of Indiana, LLC
• Amh, Inc (Associates in Mental Health)
• Misty Lynn Ammon, RN
• Amy E Amyx, MNT
• Carrie Anacker
• Christa Ann Anderson-Seye

• Ambulance in Muncie, IN
• Providers in Muncie, IN by specialty
• Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.