MERCURY AMBULANCE SERVICE INC (NPI# 1467099978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467099978 |
| Entity Type | Organization |
| Organization Name | MERCURY AMBULANCE SERVICE INC |
| Practice Address |
623 Crestview Court Jeffersonville IN 47130 |
| Mailing Address |
Po Box 100217 Atlanta GA 30384-0217 |
| Practice Telephone | 5026360414 |
| Mailing Telephone | 3307628891 |
| Mailing Fax Number | 3303844019 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2020-03-13 |
| Authorized Official Name | EDWARD VAN HORNE (COO) |
| Authorized Official Telephone | 3034951220 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCURY AMBULANCE SERVICE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 341600000X | Ambulance | Transportation Services | ||
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376647412 | Mercury Ambulance Service Inc | Ambulance | 4106 Eastmoor Rd, Louisville, KY 40218-3002 | 2006-09-11 |
| Street Address |
623 CRESTVIEW COURT |
| City | JEFFERSONVILLE |
| State | IN |
| Zip Code | 47130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124717 | Jeffersonville Commons Dental | Dentist | 1019 Jeffersonville Commons Drive, Jeffersonville, IN 47130 | 2020-05-04 |
| 1427514710 | Conn Hearing Aid Center LLC | Hearing Instrument Specialist | 1516 Spring Street, Jeffersonville, IN 47130 | 2019-02-12 |
| 1619446127 | Wellness for Life | Clinic/Center | 1 Pirate Pl, Charlestown, IN 47130 | 2018-11-14 |
| 1083199939 | Stephanie Allen LLC | Dentist | 434 Patrol Road, Suite 200, Jeffersonville, IN 47130 | 2018-09-26 |
| 1679068332 | Personal Choice Inc | Day Training, Developmentally Disabled Services | 3114 Clear Stream Wat, Jeffersonville, IN 47130 | 2018-06-26 |
| 1417454638 | Jason Allen | Social Worker | 101 Noahs Ln, Jeffersonville, IN 47130 | 2018-04-13 |
| 1508374299 | Kelsey Petty | Social Worker | 101 Noahs Lane, Jeffersonville, IN 47130 | 2018-01-16 |
| 1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
| 1831618602 | Alyssa Marie Elliott | Physical Therapist | 3040 Gottbrath Pkwy, Jeffersonville, IN 47130 | 2017-09-13 |
| 1346767084 | Daniel Whonsetler | Physician Assistant | Clark Memorial Hospital, 1220 Missouri Ave, Jeffersonville, IN 47130 | 2017-08-24 |
| Find all providers in zip 47130 | ||||
| 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 |
|---|---|---|---|---|
| 1861817579 | Yellow Ambulance Southern Indiana | Ambulance | 605 Crewview Court, Jeffersonville, IN 47130-4411 | 2014-03-04 |
| 1356410286 | Cambridge Rescue Squad Inc. | Ambulance | 18 Williamson Court, Jeffersonville, VT 05464 | 2006-11-07 |
| 1366423709 | Bls Ambulance Transport,inc. | Ambulance | 14 Orchard Lane, Jeffersonville, PA 19403 | 2005-11-11 |
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|---|---|---|---|---|
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| 1518503721 | Olive Township St Joseph County | Ambulance | 204 E. Michigan, New Carlisle, IN 46552 | 2019-11-22 |
| 1871146365 | City of Muncie | Ambulance | 300 N High St, Muncie, IN 47305-1639 | 2019-07-23 |
| 1063987824 | Norwood Enterprises, LLC | Ambulance | 1256 E 86th Pl, Merrillville, IN 46410-6338 | 2018-10-09 |
| 1619472081 | Stoney Creek Township Madison County | Ambulance | 8871 W 200 S, Lapel, IN 46051-9712 | 2018-03-28 |
| 1710492939 | Phoenix Paramedic Solutions, LLC | Ambulance | 1600 Kepner Dr Ste E, Lafayette, IN 47905-7436 | 2017-12-11 |
| 1174035570 | Blue Angel Ems, LLC | Ambulance | 8250 E 95th Pl, Crown Point, IN 46307-9464 | 2017-10-26 |
| 1275050023 | City of Logansport | Ambulance | 630 High St, Logansport, IN 46947-2767 | 2017-08-23 |
| 1689191462 | West Point Volunteer Fire Association, Inc | Ambulance | 4949 St. Rd. 25 South, West Point, IN 47992-0071 | 2017-08-23 |
| 1861918849 | Corey Simmons | Ambulance | 3659 N Temple Ave, Indianapolis, IN 46218 | 2017-08-21 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSONVILLE |
| Zip Code | 47130 |
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.