| Organization Name: | INTEGRA AMBULANCE |
| NPI Number: | 1891128153 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRADLEY BOLINGER (OWNER) |
| Mailing Address: | 23 N Alton Ave Indianapolis |
| State: | IN US |
| Postal Code: | 462223908 |
| Phone Number: | 3178211025 |
| Fax Number: | |
| NPI Enumeration Date: | 08/09/2013 |
| NPI Last Update Date: | 08/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 341600000X |
| License Number: | 0989 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |