Four- Way Ambulance Emergency Service Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0242 Issued in IN

Legal business name

FOUR- WAY AMBULANCE EMERGENCY SERVICE INC

Practice address

201 W Main
Mentone, IN 46539

Phone

(574) 353-7460

Fax

(574) 353-7807

NPI assigned

Jan 22, 2007

Last updated

Dec 19, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Marsha A Scott

Title

Sec Treas

Phone

(574) 353-7460

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1083768667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 225",
            "city": "MENTONE",
            "state": "IN",
            "postal_code": "46539",
            "telephone_number": "574-353-7460",
            "fax_number": "574-353-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W MAIN",
            "city": "MENTONE",
            "state": "IN",
            "postal_code": "46539",
            "telephone_number": "574-353-7460",
            "fax_number": "574-353-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR- WAY AMBULANCE EMERGENCY SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SEC TREAS",
        "authorized_official_telephone_number": "574-353-7460",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": "0242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100281950A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000234647",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Sue Baney, FNP-C
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• Jami Leanne Halliburton, NCCHHA
• Mentone Dental LLC
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• Monique Clarysse Pondy, MD
• Ashley Marie Regnier

• Ambulance in Mentone, IN
• Providers in Mentone, IN by specialty
• Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.