PROMPT AMBULANCE CENTRAL, INC. NPI 1770859175

Ambulance (Land Transport) in Lafayette, IN

Organization Ambulance Land Transport

About PROMPT AMBULANCE CENTRAL, INC.

Prompt Ambulance Central, Inc. is a provider established in Lafayette, Indiana specializing in ambulance (land transport) . The NPI number of Prompt Ambulance Central, Inc. is 1770859175 and was assigned on March 2012. The practitioner's primary taxonomy code is 3416L0300X with license number 0150 (IN). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. Gary T Miller (President)

NPI

1770859175

Provider NamePROMPT AMBULANCE CENTRAL, INC.
Provider Location Address1600 KEPNER DR SUITE E LAFAYETTE, IN 47905
Provider Mailing Address1600 KEPNER DRIVE SUITE E LAFAYETTE, IN 47905
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date03-29-2012
Last Update Date11-01-2016

Primary Taxonomy

Taxonomy Code3416L0300X
ClassificationAmbulance
TypeTransportation Services
SpecializationLand Transport
License No.0150
License StateIN

Business Address

PROMPT AMBULANCE CENTRAL, INC.
1600 KEPNER DR
SUITE E
LAFAYETTE, IN
ZIP 47905
Phone: (765) 448-4327
Fax: (765) 448-4694

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Mailing Address

PROMPT AMBULANCE CENTRAL, INC.
1600 KEPNER DRIVE
SUITE E
LAFAYETTE, IN
ZIP 47905
Phone: (765) 448-4327
Fax: (765) 448-4694

Authorized Official

Authorized Official NameMR. GARY T MILLER
Authorized Official TitlePRESIDENT
Authorized Official Phone(219) 838-4444

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
M300068597MEDICARE PIN (08)IN
201062000AMEDICAID (05)IN
P01089849OTHER (01)IN

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871527069AMERICAN OXYGEN &MEDICAL EQUIPMENT, INC.
Organization
Durable Medical Equipment & Medical Supplies1600 KEPNER DR
LAFAYETTE, IN 47905
(765) 466-0402

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.