Organization Active NPI

Stat Ambulance Inc

  • Ambulance
  • Columbus, IN
National Provider Identifier
1760501969
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0541 Issued in IN
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

Updated by the provider on Jan 5, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000192165OtherINANTHEM
590012348OtherINPALMETTO GOV'T SERVICES
200147760AMedicaidIN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.