Healthcare Provider Details

I. General information

NPI: 1538124656
Provider Name (Legal Business Name): PROMPT MEDICAL TRANSPORTATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 03/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9835 EXPRESS DRIVE
HIGHLAND IN
46322
US

IV. Provider business mailing address

9835 EXPRESS DRIVE
HIGHLAND IN
46322
US

V. Phone/Fax

Practice location:
  • Phone: 219-934-1010
  • Fax: 219-924-3192
Mailing address:
  • Phone: 219-934-1010
  • Fax: 219-924-3192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0583
License Number StateIN

VIII. Authorized Official

Name: MR. GARY T MILLER
Title or Position: CEO
Credential:
Phone: 219-838-4444