Organization Active NPI

Prompt Ambulance Central, Inc.

  • Land Ambulance
  • Lafayette, IN
National Provider Identifier
1770859175
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0150 Issued in IN
Legal business name
PROMPT AMBULANCE CENTRAL, INC.
Practice address
1600 Kepner Dr
Suite E
Lafayette, IN 47905-7427
Phone
(765) 448-4327
Fax
(765) 448-4694
NPI assigned
Mar 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Mr. Gary T Miller
Title
President
Phone
(219) 838-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0150 IN Primary

Addresses

Primary practice location

1600 Kepner Dr
Suite E
Lafayette, IN 47905-7427

Mailing address

1600 Kepner Drive
Suite E
Lafayette, IN 47905
Phone (765) 448-4327

Other identifiers 2

IdentifierTypeStateIssuer
201062000AMedicaidIN
P01089849OtherINRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1600 Kepner Dr
Ste A
Lafayette, IN 47905
Phone (765) 448-4327

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1770859175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 KEPNER DRIVE",
            "address_2": "SUITE E",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "47905",
            "telephone_number": "765-448-4327",
            "fax_number": "765-448-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 KEPNER DR",
            "address_2": "SUITE E",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479057427",
            "telephone_number": "765-448-4327",
            "fax_number": "765-448-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMPT AMBULANCE CENTRAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-838-4444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201062000A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01089849",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.