Mercy Ambulance of Evansville Inc
Organization Active NPI Land Ambulance · Evansville, IN
NPI 1376576181 · NPPES record last updated Mar 16, 2026
Key facts
- NPI
- 1376576181
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- MERCY AMBULANCE OF EVANSVILLE INC
- Practice address
- 950 E Virginia St
Evansville, IN 47711-5645 - Phone
- (812) 421-6500
- Fax
- (812) 428-2621
- NPI assigned
- Jul 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Brian Scott Tierney
- Title
- Evp, Chief Financial Officer
- Phone
- (833) 703-2294
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 5
Member of 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041110000206 | IN | Part B Supplier - Ambulance Service Supplier | 2365405487 | Practice locations: Evansville, IN |
National Provider Directory
- Tax ID family
- Mercy Amb Evansville Inc
Locations
522 NW 1st St
Evansville, IN 47708
Phone (812) 428-2282
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | Yes | ||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
950 E Virginia St
Evansville, IN 47711-5645
Mailing address
PO Box 100217
Atlanta, GA 30384-0217
Phone (800) 913-9106
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300034909 | Medicaid | IN |
Other names
- Lifeguard Ambulance
- Lifeguard Emergency Medical Services
- Mercy Ambulance of Evansville
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2026. 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.