DILLSBORO EMERGENCY AMBULANCE UNIT, INC. (NPI# 1710090287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710090287 |
| Entity Type | Organization |
| Organization Name | DILLSBORO EMERGENCY AMBULANCE UNIT, INC. |
| Practice Address |
13036 North St. Dillsboro IN 47018 |
| Mailing Address |
Po Box 3 Dillsboro IN 47018-0003 |
| Practice Telephone | 8124323169 |
| Mailing Telephone | 8124323169 |
| Mailing Fax Number | 8124323170 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2017-04-21 |
| Authorized Official Name | BEVERLY TACKITT (CAPTAIN) |
| Authorized Official Telephone | 8124323169 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
0038 | IN | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200368320A | 05 | |
| IN | ANTHEM | 000000305222 | 01 |
| RRMC PTAN | P00129139 | 01 |
| Street Address |
13036 NORTH ST. |
| City | DILLSBORO |
| State | IN |
| Zip Code | 47018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699086066 | Suzette Alene Mathes | Occupational Therapy Assistant | 12083 Lenover St, Dillsboro, IN 47018 | 2010-06-30 |
| 1497066872 | Mayank Jain | Physical Therapist | 12803 Lenover Street, The Waters of Dillsboro-ross, Dillsboro, IN 47018 | 2010-06-30 |
| 1891832911 | Anne Catherine Brown | Family Medicine | 12827 Lenover St, Dillsboro, IN 47018 | 2007-01-30 |
| 1912053067 | Randall P Leduc | Internal Medicine | 12930 North Street, Dillsboro, IN 47018 | 2007-01-25 |
| 1720322514 | Brian White | Physical Therapist | 12803 Lenover Street, Dillsboro, IN 47018 | 2012-11-16 |
| 1356654727 | Christopher Alvin Wilhelm | Physical Therapy Assistant | 12803 Lenover Street, The Waters of Dillsboro-ross, Dillsboro, IN 47018 | 2010-07-14 |
| 1265743629 | Abhilekh Thakur | Physical Therapist | 12803 Lenover Street, Dillsboro, IN 47018 | 2010-06-30 |
| 1659463610 | Camille Deville Boyken | Pharmacist | 12836 North St, Dillsboro, IN 47018 | 2006-09-28 |
| 1225241474 | Healthcare Centers of Indiana, LLC | Skilled Nursing Facility | 12803 Lenover St, Dillsboro, IN 47018-0037 | 2007-05-07 |
| 1942429352 | Randall P Leduc, Md, PC | Family Medicine | 12827 Lenover St, Dillsboro, IN 47018-0095 | 2007-04-24 |
| Find all providers in zip 47018 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| Find all providers with the same taxonomy | ||||
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| 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.