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MERCY AMBULANCE OF EVANSVILLE INC NPI 1376576181


NPI Information

NPI: 1376576181
Provider Name: MERCY AMBULANCE OF EVANSVILLE INC

Doing Business As: PREMIER MOBILITY SERVICE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
950 E VIRGINIA ST
EVANSVILLE, IN
ZIP 47711
Phone: (812) 421-6500
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MERCY AMBULANCE OF EVANSVILLE INC is a land transport ambulance in Evansville, IN. MERCY AMBULANCE OF EVANSVILLE INC NPI is 1376576181. The provider is registered as an organization entity type.
The provider Is Doing Business As Premier Mobility Service.

The provider's business location address is:

950 E VIRGINIA ST
EVANSVILLE, IN
ZIP 47711-000
Phone: (812) 421-6500
Fax: (812) 428-2621

The provider's authorized official is Eric Thomas .
The authorized official title is Svp Of Revenue Management and has the following contact phone number (833) 703-2294.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 4/16/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1341600000XAmbulanceNo
23416L0300XAmbulanceLand TransportYes
3343900000XNon-emergency Medical Transport (VAN)No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100188640AMEDICAIDINDIANA
21376576181OTHERTRICARE EAST
37100311060MEDICAIDKENTUCKY
47100311200MEDICAIDKENTUCKY
5590008472OTHERRAILROAD
6IN0000D100166OTHERINDIANASECTION 1011

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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