| Organization Name: | AMBULANCE ENTERPRISES, INC D/B/A INDIANA EMS |
| NPI Number: | 1003812637 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBIN I. ROBERTS (BILLING MGR.) |
| Mailing Address: | 2816 W. Sample St. South Bend |
| State: | IN US |
| Postal Code: | 466193230 |
| Phone Number: | 5742890725 |
| Fax Number: | 5792894662 |
| NPI Enumeration Date: | 06/28/2005 |
| NPI Last Update Date: | 08/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 0398 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |