Provider Demographics
NPI:1689091860
Name:AMERICAN MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:AMERICAN MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:METZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-705-6067
Mailing Address - Street 1:317 WEST ALECK ST.
Mailing Address - Street 2:PO BOX 514
Mailing Address - City:CONVERSE
Mailing Address - State:IN
Mailing Address - Zip Code:46919-0514
Mailing Address - Country:US
Mailing Address - Phone:765-705-6067
Mailing Address - Fax:
Practice Address - Street 1:317 W ALECK ST
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:IN
Practice Address - Zip Code:46919-2169
Practice Address - Country:US
Practice Address - Phone:765-705-6067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)