Provider Type Icon

HYMERA EMERGENCY RESPONSE TEAM NPI 1639188378


NPI Information

NPI: 1639188378
Provider Name: HYMERA EMERGENCY RESPONSE TEAM
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
3134 MALLARD COVE LN
FORT WAYNE, IN
ZIP 46804
Phone: (260) 436-9495
Get Directions

HYMERA EMERGENCY RESPONSE TEAM is a land transport ambulance in Fort Wayne, IN. HYMERA EMERGENCY RESPONSE TEAM NPI is 1639188378. The provider is registered as an organization entity type.

The provider's business location address is:

3134 MALLARD COVE LN
FORT WAYNE, IN
ZIP 46804-882
Phone: (260) 436-9495
Fax: (260) 436-7235

The provider's authorized official is Clay Shidler .
The authorized official title is Director and has the following contact phone number (812) 383-5155.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 8/22/2020.


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
13416L0300XAmbulanceLand Transport0439INDIANAYes

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
1000000203079OTHERINDIANAANTHEM

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.