NPIMap

Organization Active NPI

Quality Care Ambulance, Inc.

  • Land Ambulance
  • Marion, IN
National Provider Identifier
1336197953
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0402 Issued in IN
Legal business name
QUALITY CARE AMBULANCE, INC.
Practice address
911 S Adams St
Marion, IN 46953-2048
Phone
(765) 664-0706
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Beverly J Colley
Title
President
Phone
(765) 664-0706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0402 IN Primary

Addresses

Primary practice location

911 S Adams St
Marion, IN 46953-2048

Mailing address

911 S Adams St
Marion, IN 46953-2048
Phone (765) 664-0706

Other identifiers 1

IdentifierTypeStateIssuer
000000192416OtherINANTHEM PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

911 S Adams St
Marion, IN 46953
Phone (765) 664-0706

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336197953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 S ADAMS ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469532048",
            "telephone_number": "765-664-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 S ADAMS ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469532048",
            "telephone_number": "765-664-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLEY",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-664-0706"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000192416",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.