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Stephanie Mack
Non-emergency Medical Transport (VAN) in Indianapolis, Indiana
NPI 1043930670

Stephanie Mack is a Non-emergency Medical Transport (VAN) based in Indianapolis, IN. Stephanie Mack practices in Indianapolis, IN. The NPI Number for Stephanie Mack is 1043930670 and holds a License No. (Indiana).

The current practice location address for Stephanie Mack is 3030 N Olney St, Indianapolis, IN and can be reached out via phone at 317-728-6862.

Location: 3030 N Olney St, Indianapolis, IN, 46218-2131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043930670
Provider Name
Stephanie Mack
Credential
Provider Entity Type
Individual
Gender
Female
Address
3030 N Olney St, Indianapolis, IN, 46218-2131
Phone Number
317-728-6862
Fax Number
Provider Enumeration Date
09/01/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06061967 05 IN
institution
Provider Business Practice Location Address Details
Address
3030 N Olney St
City
Indianapolis
State
Indiana
Zip
46218-2131
Phone Number
317-728-6862
Fax Number
person
Provider Business Mailing Address Details
Address
3030 N Olney St
City
Indianapolis
State
Indiana
Zip
46218-2131
Phone Number
317-728-6862
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
(Indiana)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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