Provider Demographics
NPI:1659377596
Name:AMBULANCE BILLING SERVICE
Entity Type:Organization
Organization Name:AMBULANCE BILLING SERVICE
Other - Org Name:DELAWARE COUNTY EMS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:RIGNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-287-1015
Mailing Address - Street 1:2809 W GODMAN AVE
Mailing Address - Street 2:STE 9
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-4415
Mailing Address - Country:US
Mailing Address - Phone:765-287-1015
Mailing Address - Fax:765-287-1072
Practice Address - Street 1:2809 W GODMAN AVE
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-4477
Practice Address - Country:US
Practice Address - Phone:765-287-1015
Practice Address - Fax:765-287-1072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-24
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0234341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100282320AMedicaid
IN000000181621OtherBCBS
IN100282320AMedicaid