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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: LIFEGUARD AMBULANCE

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 Lifeguard Ambulance.

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 9/22/2023.


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
2343900000XNon-emergency Medical Transport (VAN)No
33416L0300XAmbulanceLand TransportYes

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
17100311060MEDICAIDKENTUCKY
27100311200MEDICAIDKENTUCKY
3590008472OTHERRAILROAD
4IN0000D100166OTHERINDIANASECTION 1011
51376576181OTHERTRICARE EAST
6300034909MEDICAIDINDIANA

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: 4/28/2024

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