Organization Active NPI

Courteous Mav

  • Non-emergency Medical Transport (VAN)
  • Indianapolis, IN
National Provider Identifier
1700908043
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
1242928 Issued in IN
Legal business name
COURTEOUS MAV
Practice address
6301 Monarch Dr
Indianapolis, IN 46224-1828
Phone
(973) 725-9164
Fax
(973) 424-9616
NPI assigned
Apr 6, 2007
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
Carlina Fancher
Title
President
Phone
(973) 725-9164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 1242928 IN Primary

Addresses

Primary practice location

6301 Monarch Dr
Indianapolis, IN 46224-1828

Mailing address

PO Box 22392
Indianapolis, IN 46222-0392
Phone (973) 725-9164

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700908043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22392",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462220392",
            "telephone_number": "973-725-9164",
            "fax_number": "973-424-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 MONARCH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462241828",
            "telephone_number": "973-725-9164",
            "fax_number": "973-424-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTEOUS MAV",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FANCHER",
        "authorized_official_first_name": "CARLINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-725-9164"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IN",
            "license": "1242928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.