Healthcare Provider Details

I. General information

NPI: 1669300471
Provider Name (Legal Business Name): DAMAR SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5715 DECATUR BLVD
INDIANAPOLIS IN
46241-9561
US

IV. Provider business mailing address

6067 DECATUR BLVD
INDIANAPOLIS IN
46241-9606
US

V. Phone/Fax

Practice location:
  • Phone: 317-455-2366
  • Fax:
Mailing address:
  • Phone: 616-292-3261
  • Fax: 317-856-5201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: DR. KIMBERLY HOLLABAUGH
Title or Position: VP, HEALTH SERVICES
Credential: DHA
Phone: 616-292-3261