Organization Active NPI

Mobile Medic

  • Land Ambulance
  • Scipio, IN
National Provider Identifier
1285800904
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MOBILE MEDIC
Practice address
8240 N Greenacres Rd
Scipio, IN 47273-9310
Phone
(812) 371-7632
NPI assigned
May 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Mr. Shawn Jeremy Alvarado I, EMT-BA
Title
Director of Operations
Phone
(812) 371-7632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

8240 N Greenacres Rd
Scipio, IN 47273-9310

Mailing address

8240 N Greenacres Rd
Scipio, IN 47273
Phone (812) 371-7632

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1285800904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 N GREENACRES RD",
            "city": "SCIPIO",
            "state": "IN",
            "postal_code": "47273",
            "telephone_number": "812-371-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 N GREENACRES RD",
            "city": "SCIPIO",
            "state": "IN",
            "postal_code": "472739310",
            "telephone_number": "812-371-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "JEREMY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "812-371-7632",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "EMT-BA"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scipio, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.