Active NPI
Pike County Emergency Medical Service
- Land Ambulance
- Petersburg, IN
National Provider Identifier
1376513010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0015
- 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
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Barbara J Wilson, EMTB
- Title
- Director/Coordinator
- Phone
- (812) 354-8796
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0015 | IN | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| 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 |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Pike County Emergency Medical Service
- Land Ambulance
- Petersburg, IN
- NPI 1700929437
O20060925000497
National Provider Directory
National Provider DirectoryLocations
798 E Illinois St
Petersburg, IN 47567
Phone (812) 354-8796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1376513010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 E MAIN ST",
"address_2": "COURTHOUSE",
"city": "PETERSBURG",
"state": "IN",
"postal_code": "475671249",
"telephone_number": "812-354-8796",
"fax_number": "812-354-8257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E MAIN ST",
"address_2": "COURTHOUSE",
"city": "PETERSBURG",
"state": "IN",
"postal_code": "475671249",
"telephone_number": "812-354-8796",
"fax_number": "812-354-8257"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIKE COUNTY EMERGENCY MEDICAL SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DIRECTOR/COORDINATOR",
"authorized_official_telephone_number": "812-354-8796",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "EMTB"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IN",
"license": "0015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Emergency Medical Service)
- Pike County Health Department
- Pike County Medical Transport LLC
- Pike County School Corp
- Renee Abrassart Ramsey
- Leslie Roberts, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.