NPIMap

Organization Active NPI

United Mobile Care

  • Land Ambulance
  • San Pierre, IN
National Provider Identifier
1174816813
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0966 Issued in IN
Legal business name
UNITED MOBILE CARE
Practice address
7114 N US Highway 421
San Pierre, IN 46374-9103
Phone
(219) 828-5999
NPI assigned
May 26, 2011
Last updated
May 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Authorized official

Name
Tammy Sue Anne Estrada
Title
Director
Phone
(219) 828-5999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0966 IN Primary

Addresses

Primary practice location

7114 N US Highway 421
San Pierre, IN 46374-9103

Mailing address

7114 N US Highway 421
San Pierre, IN 46374-9103
Phone (219) 828-5999

Other identifiers 1

IdentifierTypeStateIssuer
0966OtherINLICENSE/CERTIFICATE NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1174816813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7114 N US HIGHWAY 421",
            "city": "SAN PIERRE",
            "state": "IN",
            "postal_code": "463749103",
            "telephone_number": "219-828-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7114 N US HIGHWAY 421",
            "city": "SAN PIERRE",
            "state": "IN",
            "postal_code": "463749103",
            "telephone_number": "219-828-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED MOBILE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "SUE ANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "219-828-5999"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE/CERTIFICATE NUMBER",
            "identifier": "0966",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pierre, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.