Provider Demographics
NPI:1851495998
Name:RURAL-METRO OF INDIANA L P
Entity Type:Organization
Organization Name:RURAL-METRO OF INDIANA L P
Other - Org Name:RURAL/METRO AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN HORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-227-6078
Mailing Address - Street 1:PO BOX 1893
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85252-1893
Mailing Address - Country:US
Mailing Address - Phone:888-876-0740
Mailing Address - Fax:480-627-6128
Practice Address - Street 1:134 E ELM ST
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-3459
Practice Address - Country:US
Practice Address - Phone:502-267-9153
Practice Address - Fax:502-267-5858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-11
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01533416L0300X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN156093OtherANTHEM BCBS OF INDIANA
IN590568125OtherRAILROAD MEDICARE
IN100281300FMedicaid
IN590568125OtherRAILROAD MEDICARE
IN893700Medicare PIN