Provider Demographics
NPI:1861817579
Name:YELLOW AMBULANCE SOUTHERN INDIANA
Entity Type:Organization
Organization Name:YELLOW AMBULANCE SOUTHERN INDIANA
Other - Org Name:YELLOW ENTERPRISE SYSTEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:M
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-214-7367
Mailing Address - Street 1:421 GERNERT CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40217-1027
Mailing Address - Country:US
Mailing Address - Phone:502-214-7367
Mailing Address - Fax:
Practice Address - Street 1:605 CREWVIEW COURT
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-4411
Practice Address - Country:US
Practice Address - Phone:502-214-7367
Practice Address - Fax:502-214-7441
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROCARENT, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport