Americare Ambulance Service LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0890 Issued in IN

Legal business name

AMERICARE AMBULANCE SERVICE LLC

Doing business as

Americare Ambulance Service

Practice address

1116 S Leeds St
Kokomo, IN 46902-6226

Phone

(765) 434-5155

Fax

(765) 453-5429

NPI assigned

May 19, 2006

Last updated

Dec 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bradley A Ott

Title

Owner

Phone

(317) 770-1100

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Americare Ambulance Service Doing business as

Locations

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1871546713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 EAST 196TH STREET",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460629091",
            "telephone_number": "317-770-1100",
            "fax_number": "317-770-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 S LEEDS ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026226",
            "telephone_number": "765-434-5155",
            "fax_number": "765-453-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICARE AMBULANCE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-770-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": "0890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200506150A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200849560A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000360581",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00264119",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Americare Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amanda Anderson
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• Ambulance in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.