PENDLETON EMERGENCY AMBULANCE INC (NPI# 1518019637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518019637 |
| Entity Type | Organization |
| Organization Name | PENDLETON EMERGENCY AMBULANCE INC |
| Other Organization Name | INDIANA NON PROFIT ORGANIZATION |
| Practice Address |
100 S Broadway Pendleton IN 46064 |
| Mailing Address |
Po Box 165 Pendleton IN 46064 |
| Practice Telephone | 7657782400 |
| Mailing Telephone | 7657783355 |
| Mailing Fax Number | 7657787287 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2019-08-01 |
| Authorized Official Name | MR. GEORGE M GASPAROVIC (TREASURER) |
| Authorized Official Telephone | 3177756753 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
EMS COMM CERT 00 | IN | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100281760A | 05 | |
| ANTHEM | 000000187430 | 01 | |
| PALMETTOGBA RR MEDICARE | 590000389 | 01 |
| Other Name | Type Code |
|---|---|
| Indiana Non Profit Organization | Other Name - Individual/Organization |
| Street Address |
100 S BROADWAY |
| City | PENDLETON |
| State | IN |
| Zip Code | 46064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912214727 | Classic Sleepcare, LLC | Durable Medical Equipment & Medical Supplies | 138 West State Street, Suite #4, Pendleton, IN 46064 | 2010-09-01 |
| 1629239355 | Stephanie Jane Russ | Family Medicine | 1251 S Huntzinger Blvd, Suite 100, Pendleton, IN 46064 | 2008-06-25 |
| 1003004219 | Hamilton-madison, Inc. | Durable Medical Equipment & Medical Supplies | 105 1/2 E. State Street, Pendleton, IN 46064 | 2007-10-12 |
| 1487755716 | Anna Marie Tallant | Counselor | 131 N Pendleton Ave, Suite A, Pendleton, IN 46064 | 2006-09-26 |
| 1336242700 | Jennifer A Neise | Dentist | 3132 W. State Road 38, Pendleton, IN 46064 | 2006-09-07 |
| 1366900599 | Megan Daberko | Registered Nurse | 1251 Huntzinger Blvd Ste 100, Pendleton, IN 46064 | 2019-03-06 |
| 1821594672 | Jean Castro | Registered Nurse | 1251 Huntzinger Blvd Ste 100, Pendleton, IN 46064 | 2018-04-02 |
| 1013002310 | Kenneth U Lau | Dentist | 210 East Water Street, Pendleton, IN 46064 | 2006-10-03 |
| 1912955832 | Indiana Tmj Treatment Center | Dentist | 210 East Water Street, Pendleton, IN 46064-0206 | 2006-05-04 |
| 1962496430 | Megan Noel Jones | Optometrist | 120 E State St, Pendleton, IN 46064-1027 | 2005-09-09 |
| Find all providers in zip 46064 | ||||
| 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 |
|---|---|---|---|---|
| 1811072432 | Confederated Tribes of The Umatilla Indian Reservation | Ambulance | 73382 Confederated Way, Pendleton, OR 97801 | 2006-10-25 |
| 1710963244 | Pendleton Area Rescue Squad | Ambulance | 1 Depot Street, Pendleton, SC 29670 | 2005-12-16 |
| 1982607016 | City of Pendleton | Ambulance | 1455 Se Court Ave, Pendleton, OR 97801-3212 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922648781 | Center-jackson Township Fire Territory Corporation | Ambulance | 11216 E State Road 54, Bloomfield, IN 47424-6073 | 2020-01-09 |
| 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 | ||||
Please comment or provide details below to improve the information on PENDLETON EMERGENCY AMBULANCE 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.