Provider Demographics
NPI:1417790973
Name:ARK MEDICAL TRANSPORT INC.
Entity type:Organization
Organization Name:ARK MEDICAL TRANSPORT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:COSBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-444-1231
Mailing Address - Street 1:5610 CRAWFORDSVILLE RD STE 2100
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46224-3787
Mailing Address - Country:US
Mailing Address - Phone:317-444-1231
Mailing Address - Fax:
Practice Address - Street 1:5610 CRAWFORDSVILLE RD STE 2100
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46224-3787
Practice Address - Country:US
Practice Address - Phone:317-444-1231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN347C00000XOtherTAXONOMY