Provider Demographics
NPI:1003979675
Name:ACTION AMBULANCE
Entity Type:Organization
Organization Name:ACTION AMBULANCE
Other - Org Name:INTEGRATED TRANSPORTATION SOLUTIONS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:
Authorized Official - Last Name:O'DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-619-8839
Mailing Address - Street 1:274 HWY 44 EAST
Mailing Address - Street 2:UNIT 2
Mailing Address - City:SHEPHERDSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40165
Mailing Address - Country:US
Mailing Address - Phone:502-619-8839
Mailing Address - Fax:502-531-0103
Practice Address - Street 1:4038 PARK 65 DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-2500
Practice Address - Country:US
Practice Address - Phone:317-481-9000
Practice Address - Fax:317-481-9002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0481341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200047550AMedicaid
IN988530Medicare UPIN
IN988530Medicare PIN