Organization Active NPI

Ohio County Rescue Service Inc

  • Land Ambulance
  • Rising Sun, IN
National Provider Identifier
1114018629
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0170 Issued in IN
Legal business name
OHIO COUNTY RESCUE SERVICE INC
Practice address
121 S High St
Rising Sun, IN 47040-1180
Phone
(812) 438-3100
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Myrle White
Title
Chief
Phone
(812) 438-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0170 IN Primary

Addresses

Primary practice location

121 S High St
Rising Sun, IN 47040-1180

Mailing address

836 4TH Ave
Huntington, WV 25701-1407
Phone (800) 676-4785

Other identifiers 4

IdentifierTypeStateIssuer
55001143MedicaidKY
2532610MedicaidOH
000000341648OtherKYANTHEM
800605OtherINBLACK LUNG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041008000512 IN Part B Supplier - Ambulance Service Supplier 4284693888 Practice locations: Rising Sun, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2027946Ohio Co Rescue Service, Inc121 S High St, Rising Sun, IN 47040Certificate of waiverAug 4, 2027

National Provider Directory

National Provider Directory

Locations

121 S High St
Rising Sun, IN 47040
Phone (812) 438-3100

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1114018629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 4TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011407",
            "telephone_number": "800-676-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S HIGH ST",
            "city": "RISING SUN",
            "state": "IN",
            "postal_code": "470401180",
            "telephone_number": "812-438-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO COUNTY RESCUE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MYRLE",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "812-438-3100"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55001143",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2532610",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000341648",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "800605",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rising Sun, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.