MONROE HOSPITAL AMBULANCE SERVICE (NPI# 1801046347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801046347 |
| Entity Type | Organization |
| Organization Name | MONROE HOSPITAL AMBULANCE SERVICE |
| Practice Address |
4011 S Monroe Medical Park Blvd Bloomington IN 47403-8000 |
| Practice Telephone | 8128250904 |
| Mailing Telephone | 8128250904 |
| Enumeration Date | 2008-09-21 |
| Last Update Date | 2009-01-23 |
| Authorized Official Name | DR. JONATHAN D HART (CEO/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8128250892 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | IN | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE PTAN | 258790 | 01 |
| IN | 200921860A | 05 |
| Street Address |
4011 S MONROE MEDICAL PARK BLVD |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871587451 | Linnea Pennycuff | Dietitian, Registered | 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 | 2005-09-09 |
| 1396284410 | Bloomington Emergency Care LLC | Emergency Medicine | 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 | 2017-02-22 |
| 1295105641 | Sheridan Emergency Physician Services of Indiana, PC | Emergency Medicine | 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 | 2015-09-29 |
| 1023448321 | Northwest Hospitalist Physicians, LLP | Emergency Medicine | 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 | 2013-11-22 |
| 1497185797 | Northern Indiana Emergency Physicians, LLP | Emergency Medicine | 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 | 2013-11-22 |
| 1821366832 | Bloomington Emergency Group PC | Physician Assistant | 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 | 2011-12-05 |
| 1164790341 | Bloomington Physician Services PC | Physician Assistant | 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 | 2011-12-02 |
| 1104059468 | Amandeep Singh | Internal Medicine | 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 | 2009-09-02 |
| 1568627206 | Monroe Medical Group Inc | Anesthesiology | 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 | 2008-07-22 |
| 1093990541 | Anesthesia Care of Bloomington PC | Anesthesiology | 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 | 2008-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205165032 | Bloomington Township Department of Fire and Emergency Services | Ambulance | 5081 N Old State Road 37, Bloomington, IN 47408-9240 | 2009-12-07 |
| 1497761886 | Lifeline Mobile Medics | Ambulance | 112 Southgate Dr, #b, Bloomington, IL 61704-7639 | 2006-07-31 |
| 1568498079 | City of Bloomington | Ambulance | 310 N Lee St, Bloomington, IL 61701-3834 | 2006-06-25 |
| 1275862914 | Bloomington Fire Department | Ambulance | 300 E 4th St, Bloomington, IN 47408-3505 | 2009-12-09 |
| 1740226349 | Indiana University Health Bloomington Inc | Ambulance | 601 W 2nd St, Bloomington, IN 47403-2317 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265066179 | James Harold Wiegerink | Ambulance | 4824 Calumet Ave, Fort Wayne, IN 46806-2209 | 2020-02-29 |
| 1841823168 | Illiana Ems, Inc. | Ambulance | 216 N Eugene Ave, Cayuga, IN 47928 | 2020-02-14 |
| 1467099978 | Mercury Ambulance Service Inc | Ambulance | 623 Crestview Court, Jeffersonville, IN 47130 | 2019-12-03 |
| 1174032668 | Pipe Creek Township | Ambulance | 208 S Anderson St Ste A, Elwood, IN 46036-2059 | 2017-09-27 |
| 1669916714 | Rcd Inc. | Ambulance | 153 W Us Highway 6, Valparaiso, IN 46385-7909 | 2016-12-08 |
| 1821450958 | City of Gary Fire Department, Ems | Ambulance | 455 Massachusetts St, Gary, IN 46402-1314 | 2016-03-28 |
| 1225404338 | Med One Mobile LLC | Ambulance | 4104 S State Road 39, North Judson, IN 46366-8652 | 2015-08-12 |
| 1780068122 | Kosciusko Ambulance Services LLC | Ambulance | 34 E Armstrong Rd, Leesburg, IN 46538-9368 | 2015-07-15 |
| 1285028621 | Northeast Allen County Fire and Ems Inc | Ambulance | 13415 State St, Grabill, IN 46741-2006 | 2015-03-24 |
| 1033522834 | Precision Ambulance LLC | Ambulance | 626 W 30th St, Connersville, IN 47331-2513 | 2014-06-09 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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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.