Healthcare Service Management, LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

TK713MWE Issued in IN

Legal business name

HEALTHCARE SERVICE MANAGEMENT, LLC

Practice address

2725 Enterprise Dr
Anderson, IN 46013-9670

Phone

(765) 374-6044

Fax

(765) 374-6043

NPI assigned

Sep 29, 2015

Last updated

Aug 23, 2022By 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

Morris D Long

Title

Ceo

Phone

(317) 870-1396

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN, OH2 enrollments

Enrollment records 2

Locations

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1174993570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8465 KEYSTONE XING STE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462404354",
            "telephone_number": "317-870-1396",
            "fax_number": "317-342-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 ENTERPRISE DR",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460139670",
            "telephone_number": "765-374-6044",
            "fax_number": "765-374-6043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11690 Grooms Rd",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452421412",
            "country_code": "US",
            "telephone_number": "317-870-1396",
            "fax_number": "317-342-7991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTHCARE SERVICE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-870-1396"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": "TK713MWE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CERTIFICATION",
            "identifier": "1215",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.