MEDICARE: A.C.T.S ALLEN COMMUNITY TRANSPORTATION & SERVICES, LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1306265137
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A.C.T.S ALLEN COMMUNITY TRANSPORTATION & SERVICES, LLC.

Provider Business Mailing Address
First Line	:	PO BOX 68081
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-0081
Country	:	US
Telephone Number	:	317-397-7424
Fax Number	:

Provider Business Practice Location Address
First Line	:	9580 MAPLE WAY
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-3279
Country	:	US
Telephone Number	:	317-397-7424
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	GEORGE W. ALLEN
Credential	:
Telephone Number	:	317-313-5008

Provider Enumeration Date	:	04/09/2014
Last Update Date	:	04/09/2014

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