Able Ambulance, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

ABLE AMBULANCE, INC

Practice address

700 E 3Rd St
Marion, IN 46952

Phone

(765) 664-9011

Fax

(765) 668-0378

NPI assigned

Apr 19, 2006

Last updated

Feb 22, 2016By 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

Dennis Huston

Title

Administrative Supervisor

Phone

(765) 664-9011

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1295790509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 386",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469520386",
            "telephone_number": "765-664-9011",
            "fax_number": "765-668-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E 3RD ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "46952",
            "telephone_number": "765-664-9011",
            "fax_number": "765-668-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABLE AMBULANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "HUSTON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "ADMINISTRATIVE SUPERVISOR",
        "authorized_official_telephone_number": "765-664-9011"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100281350",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.