Mercury Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1594 Issued in KY

Legal business name

MERCURY AMBULANCE SERVICE INC

Doing business as

American Medical Response - Louisville

Practice address

421 Gernert CT
Louisville, KY 40217-1027

Phone

(502) 636-0414

Fax

(502) 214-7431

NPI assigned

Sep 11, 2006

Last updated

Aug 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Eric Thomas

Title

SVP of Revenue Management

Phone

(833) 703-2294

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• American Medical Response - Louisville Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Rural Metro Corporation

  dba American Medical Response; AMR

  • Land Ambulance
  • Tucson, AZ
  • NPI 1962693697

  Member Of

  NPD member

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1376647412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100217",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840217",
            "telephone_number": "800-913-9106",
            "fax_number": "330-384-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 GERNERT CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171027",
            "telephone_number": "502-636-0414",
            "fax_number": "502-214-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCURY AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "SVP OF REVENUE MANAGEMENT",
        "authorized_official_telephone_number": "833-703-2294",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1107",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56004393",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200985180A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55034045",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Medical Response - Louisville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "American Medical Response - Louisville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Gail Mercer
• Tyler D Mercer
• Rebecca Hurley Mercke, DMD
• Alison Mercola
• Allison Rose Mercurio, COTA/L
• Mercy Ambulance Service, Inc.
• Mercy Sacred Heart, Inc. (Sacred Heart Village)
• Mercy Sacred Heart, Inc. (DayBreak Adult Day Health Center)
• Alexus Meredith, RBT
• Britany Meredith

• Land Ambulance in Louisville, KY
• Providers in Louisville, KY by specialty
• Land Ambulance in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.