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THREE RIVERS AMBULANCE AUTHORITY NPI 1861499139


NPI Information

NPI: 1861499139
Provider Name: THREE RIVERS AMBULANCE AUTHORITY
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
525 HAYDEN ST
FORT WAYNE, IN
ZIP 46802
Phone: (260) 420-6500
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THREE RIVERS AMBULANCE AUTHORITY is a land transport ambulance in Fort Wayne, IN. THREE RIVERS AMBULANCE AUTHORITY NPI is 1861499139. The provider is registered as an organization entity type.

The provider's business location address is:

525 HAYDEN ST
FORT WAYNE, IN
ZIP 46802-550
Phone: (260) 420-6500

The provider's authorized official is Gary A Booher .
The authorized official title is Executive Director and has the following contact phone number (260) 420-6500.

The enumeration date for this NPI number is 7/1/2005 and was last updated on 2/25/2008.


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 Transport0114INDIANAYes

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
1985830MEDICARE ID-TYPE UNSPECIFIEDINDIANAINDIANA MEDICARE PROVIDER
20114OTHERINDIANASTATE EMS PROVIDER CERT

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.