Superior Air-Ground Ambulance Service Of Indiana, Inc

LBN: Superior Air-Ground Ambulance Service Of Indiana, Inc
Superior Air-Ground Ambulance Service Of Indiana, Inc is an health care organization with primary practice located at 2605 Garfield Ave , Highland IN 46322-1609. The organization recently has 3 registered licenses in different health care specialties including Transportation Services / Air Transport, Transportation Services / Land Transport, Transportation Services / Non-emergency Medical Transport (VAN). Transportation Services / Land Transport is the primary health care specialty. Superior Air-Ground Ambulance Service Of Indiana, Inc can be contacted via phone (830) 832-2000, or through Godden, Kimberly Pate via phone (630) 832-2000.

Contact Information

Primary practice address
2605 Garfield Ave Highland IN 46322-1609
Fax:
Website:
Authorized official contact:
Name: Godden, Kimberly Pate

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Air Transport 3416A0800X 0650 Indiana
Transportation Services / Land Transport 3416L0300X 0650 Indiana
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X 0650 Indiana

Profile Details

NPI number 1952683229
LBN Legal business name Superior Air-Ground Ambulance Service Of Indiana, Inc
DBA Doing business as
Authorized official Godden, Kimberly Pate
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2011
Last updated Feb 20th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952683229 NPPES
Indiana MEDICAID 2012654050A

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