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GREENDALE EMERGENCY RESCUE INC. NPI 1699888180


NPI Information

NPI: 1699888180
Provider Name: GREENDALE EMERGENCY RESCUE, INC.
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 15D2025318

Address:
911 RIDGE AVE
GREENDALE, IN
ZIP 47025
Phone: (812) 537-1335
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GREENDALE EMERGENCY RESCUE, INC. is a land transport ambulance in Greendale, IN. GREENDALE EMERGENCY RESCUE, INC. NPI is 1699888180. The provider is registered as an organization entity type.

The provider's business location address is:

911 RIDGE AVE
GREENDALE, IN
ZIP 47025-322
Phone: (812) 537-1335
Fax: (812) 537-3850

The provider's authorized official is Tommy Craig .
The authorized official title is President and has the following contact phone number (812) 537-1335.

The CLIA number assigned to this NPI record is 15D2025318 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 4/21/2017.


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
13416L0300XAmbulanceLand Transport0370INDIANAYes

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 Other Provider Identifier Issuer
1233770MEDICARE ID-TYPE UNSPECIFIEDINDIANA
2P00399941OTHERRRMC PTAN
3200802680AMEDICAIDINDIANA
4000000385477OTHERINDIANAANTHEM

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: 5/5/2024

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.