Active NPI
Stat Ambulance Inc
- Ambulance
- Columbus, IN
National Provider Identifier
1760501969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 0541
- Legal business name
- STAT AMBULANCE INC
- Practice address
- 1704 Central Ave
Columbus, IN 47201-5326 - Phone
- (812) 379-9111
- Fax
- (812) 379-9539
- NPI assigned
- Mar 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andrew Jason Vest
- Title
- Vice President
- Phone
- (812) 379-9111
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 0541 | IN | Primary |
| Non-emergency Medical Transport (VAN) | 343900000X | 29203-A | IN |
Addresses
Primary practice location
1704 Central Ave
Columbus, IN 47201-5326
Mailing address
1704 Central Ave
Columbus, IN 47201-5326
Phone (812) 379-9111
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000192165 | Other | IN | ANTHEM |
| 590012348 | Other | IN | PALMETTO GOV'T SERVICES |
| 200147760A | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
1704 Central Ave
Columbus, IN 47201
Phone (812) 379-9111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294185600000",
"number": "1760501969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 CENTRAL AVE",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472015326",
"telephone_number": "812-379-9111",
"fax_number": "812-379-9539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 CENTRAL AVE",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472015326",
"telephone_number": "812-379-9111",
"fax_number": "812-379-9539"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAT AMBULANCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2011-01-05",
"status": "A",
"authorized_official_last_name": "VEST",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "JASON",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "812-379-9111",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "IN",
"license": "0541",
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "IN",
"license": "29203-A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000192165",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GOV'T SERVICES",
"identifier": "590012348",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200147760A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.