OrganizationActive
Advanced Care Transport, LLC
NPI 1104947944 · Non-emergency Medical Transport (VAN) · Plymouth, IN
Provider details
- NPI number
- 1104947944
- Entity type
- Organization
- Primary specialty
- Non-emergency Medical Transport (VAN)Transportation Services
- Organization subpart
- No
- Authorized official
- Kori Donovan, Partner(574) 936-9142
- License
- 54674 (IN)
Specialties & taxonomies
Transportation Services
Practice location
19341 Lincoln Hwy
Plymouth, IN 46563-8060
Phone: (574) 936-9142
Fax: (574) 936-9187
Approximate (ZIP-level) locationGet directions
Mailing address
19341 Lincoln Hwy
Plymouth, IN 46563-8060
Registry dates
- Enumerated
- 2007-04-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.