Pike County Emergency Medical Service
Organization Active NPI Land Ambulance · Petersburg, IN
NPI 1376513010 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1376513010
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 0015 (IN)
- Legal business name
- PIKE COUNTY EMERGENCY MEDICAL SERVICE
- Practice address
- 801 E Main St
Courthouse
Petersburg, IN 47567-1249 - Phone
- (812) 354-8796
- Fax
- (812) 354-8257
- NPI assigned
- Jan 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Barbara J Wilson, EMTB
- Title
- Director/Coordinator
- Phone
- (812) 354-8796
Other NPIs on the same Medicare enrollment 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060925000497 | IN | Part B Supplier - Ambulance Service Supplier | 7113922154 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Otwell, IN; Petersburg, IN; Winslow, IN |
National Provider Directory
Locations
100 S 4th St
Petersburg, IN 47567
Phone (812) 354-6024
801 E Main St
Petersburg, IN 47567
Phone (812) 354-8796
798 E Illinois St
Petersburg, IN 47567
Phone (812) 354-8796
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0015 | IN | Yes |
Addresses
Primary practice location
801 E Main St
Courthouse
Petersburg, IN 47567-1249
Mailing address
801 E Main St
Courthouse
Petersburg, IN 47567-1249
Phone (812) 354-8796
Other providers in Petersburg, IN
- Pike County Area Rehabilitation Centers Inc
- Pike County Area Rehabilitation Centers Inc
- Pike County Area Rehabilitation Centers Inc
- Pike County Area Rehabilitation Centers Inc
- Pike County Auditor
- Pike County Health Department
- Pike County Medical Transport LLC
- Pike County School Corp
- Renee Abrassart Ramsey
- Leslie Roberts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.