MERCURY AMBULANCE SERVICE INC NPI 1376647412

NPI Information

NPI: 1376647412
Provider Name: MERCURY AMBULANCE SERVICE INC

Doing Business As: AMERICAN MEDICAL RESPONSE - LOUISVILLE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
4106 EASTMOOR RD
LOUISVILLE, KY
ZIP 40218
Phone: (502) 267-9153
Get Directions

MERCURY AMBULANCE SERVICE INC is a land transport ambulance in Louisville, KY. MERCURY AMBULANCE SERVICE INC NPI is 1376647412. The provider is registered as an organization entity type.
The provider Is Doing Business As American Medical Response - Louisville.

The provider's business location address is:

4106 EASTMOOR RD
LOUISVILLE, KY
ZIP 40218-002
Phone: (502) 267-9153
Fax: (502) 267-5858

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 CLIA number assigned to this NPI record is 18D2112134 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	341600000X	Ambulance				No
2	3416L0300X	Ambulance	Land Transport	1594	KENTUCKY	Yes
3	3416L0300X	Ambulance	Land Transport	1107	KENTUCKY	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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	56004393	MEDICAID	KENTUCKY
2	55034045	MEDICAID	KENTUCKY
3	200985180A	MEDICAID	INDIANA

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

NPI Synchronization or Removal

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