MERCURY AMBULANCE SERVICE INC (NPI# 1376647412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376647412 |
| Entity Type | Organization |
| Organization Name | MERCURY AMBULANCE SERVICE INC |
| Other Organization Name | AMERICAN MEDICAL RESPONSE - LOUISVILLE |
| Practice Address |
4106 Eastmoor Rd Louisville KY 40218-3002 |
| Mailing Address |
Po Box 100217 Atlanta GA 30384-0217 |
| Practice Telephone | 5022679153 |
| Practice Fax Number | 5022675858 |
| Mailing Telephone | 3034951748 |
| Mailing Fax Number | 3303844019 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2020-03-26 |
| Authorized Official Name | MR. EDWARD VAN HORNE (CEO & PRESIDENT) |
| Authorized Official Telephone | 3034951220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 341600000X | Ambulance | Transportation Services | ||
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
1107 | KY | Transportation Services |
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
1594 | KY | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 55034045 | 05 | |
| IN | 200985180A | 05 | |
| KY | 56004393 | 05 |
| Other Name | Type Code |
|---|---|
| American Medical Response - Louisville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467099978 | Mercury Ambulance Service Inc | Ambulance | 623 Crestview Court, Jeffersonville, IN 47130 | 2019-12-03 |
| Street Address |
4106 EASTMOOR RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40218-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951170 | Okey Patrick Mbadike | Pharmacist | 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 | 2020-10-30 |
| 1992339345 | Rachael P. Abell | Nurse Practitioner | 2210 Buechel Avenue Suite 105, Louisville, KY 40218 | 2020-02-25 |
| 1750938189 | Taylor C Thomas | Nurse Practitioner | 4423 Bardstown Road, Louisville, KY 40218 | 2019-08-21 |
| 1902461692 | Louisville Injury Clinics, Inc | Chiropractor | 4400 Breckenridge Lane, Suite 102, Louisville, KY 40218 | 2019-05-08 |
| 1629564141 | Stepping Stones Counseling | Social Worker | 5414 Bannon Crossing Dr, Louisville, KY 40218 | 2018-07-09 |
| 1396230553 | Kids Without Limits LLC | Home Health | 2204 Bashford Manor Ln, Louisville, KY 40218 | 2018-06-28 |
| 1073008074 | B F P D | Ambulance | 4101 Bardstown Rd, Louisville, KY 40218 | 2018-06-22 |
| 1508358862 | Mary Katherine Biros | Nurse Practitioner | 2202 Buechel Ave Ste 105, Louisville, KY 40218 | 2018-06-03 |
| 1366931644 | Irena Kuca | Student in an Organized Health Care Education/Training Program | 215 Central Avenue Suite 100, Louisville, KY 40218 | 2018-05-02 |
| 1760979124 | Healthy Living Primary Care | General Practice | 4400 Breckenridge Ln Ste 147, Louisville, KY 40218 | 2018-04-20 |
| Find all providers in zip 40218 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982235313 | Okolona Fire Protection District | Ambulance | 8501 Preston Hwy, Louisville, KY 40219-5301 | 2020-02-04 |
| 1528605532 | Fern Creek Fire Protection District Holding Company Inc. | Ambulance | 6200 Bardstown Rd, Louisville, KY 40291-3004 | 2019-12-09 |
| 1245875160 | Highview Fire Protection District | Ambulance | 7308 Fegenbush Ln, Louisville, KY 40228-1510 | 2019-11-14 |
| 1518434208 | Eastwood Fire District | Ambulance | 16010 Shelbyville Rd, Louisville, KY 40245-4150 | 2018-10-31 |
| 1639644834 | Pleasure Ridge Park Fire Protection District | Ambulance | 9500 Stonestreet Rd, Louisville, KY 40272-2880 | 2018-10-04 |
| 1073008074 | B F P D | Ambulance | 4101 Bardstown Rd, Louisville, KY 40218 | 2018-06-22 |
| 1073014940 | Anchorage Fire Protection District | Ambulance | 108 Urton Ln, Louisville, KY 40223-3944 | 2018-02-26 |
| 1194990135 | Louisville Fire Protection District | Ambulance | 895 W Via Appia, Louisville, CO 80027 | 2008-04-29 |
| 1689637456 | City of Louisville | Ambulance | 122 Main Street, Louisville, NE 68037 | 2006-04-11 |
| 1245860329 | Fern Creek Fire Protection District | Ambulance | 6200 Bardstown Rd, Louisville, KY 40291-3004 | 2020-01-17 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40218 |
Please comment or provide details below to improve the information on MERCURY AMBULANCE SERVICE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.