=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538570502
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALLIED CARES TRANSPORTATION SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/13/2014
-----------------------------------------------------
Last Update Date | 05/13/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5138 W PIKE PLAZA RD
-----------------------------------------------------
City | INDIANAPOLIS
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46254-3003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-328-0665
-----------------------------------------------------
Fax | 317-328-0699
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5138 W PIKE PLAZA RD
-----------------------------------------------------
City | INDIANAPOLIS
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46254-3003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-328-0665
-----------------------------------------------------
Fax | 317-328-0699
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | PATRICIA A HAYES
-----------------------------------------------------
Credential | BSN
-----------------------------------------------------
Telephone | 317-328-0665
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343800000X
-----------------------------------------------------
Taxonomy Name | Secured Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------