Provider Demographics
NPI:1356723779
Name:RED LINE AMBULANCE SERVICES, INC.
Entity type:Organization
Organization Name:RED LINE AMBULANCE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ULERICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-969-3209
Mailing Address - Street 1:774 S STATE ROAD 1
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE CITY
Mailing Address - State:IN
Mailing Address - Zip Code:47327-9472
Mailing Address - Country:US
Mailing Address - Phone:765-969-3209
Mailing Address - Fax:
Practice Address - Street 1:774 S STATE ROAD 1
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE CITY
Practice Address - State:IN
Practice Address - Zip Code:47327-9472
Practice Address - Country:US
Practice Address - Phone:765-969-3209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-22
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12113416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport