Healthcare Provider Details

I. General information

NPI: 1679461172
Provider Name (Legal Business Name): MED-BILL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2025
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8646 CASTLE PARK DR
INDIANAPOLIS IN
46256-1269
US

IV. Provider business mailing address

8646 CASTLE PARK DR
INDIANAPOLIS IN
46256-1269
US

V. Phone/Fax

Practice location:
  • Phone: 317-775-6751
  • Fax: 317-775-6751
Mailing address:
  • Phone: 317-775-6751
  • Fax: 317-775-6751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416S0300X
TaxonomyWater Ambulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: DERRICA D BORDEN
Title or Position: CEO
Credential:
Phone: 317-796-2688