NPIMap

Organization Active NPI

Mercy Ambulance of Evansville Inc

  • Ambulance
  • Lexington, KY
National Provider Identifier
1548293293
Registry record updated Aug 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
MERCY AMBULANCE OF EVANSVILLE INC
Practice address
1500 Bull Lea Rd Ste 150
Lexington, KY 40511-1266
Phone
(859) 254-4969
NPI assigned
Jul 8, 2006
Organization subpart
No

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Subparts reporting this organization as parent 6

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050518000227 KY Part B Supplier - Ambulance Service Supplier 2365405487 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Prestonsburg, KY; Pikeville, KY; Owensboro, KY; Hyden, KY; Harlan, KY; Cumberland, KY; MC Dowell, KY

National Provider Directory

National Provider Directory

Locations

1500 Bull Lea Rd
Ste 150
Lexington, KY 40511
Phone (859) 254-4969

NPPES NPI Registry

Updated by the provider on Aug 27, 2023

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

Authorized official

Name
Eric Thomas
Title
SVP of Revenue Management
Phone
(833) 703-2294

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

1500 Bull Lea Rd Ste 150
Lexington, KY 40511-1266

Mailing address

PO Box 100217
Atlanta, GA 30384-0217
Phone (800) 913-9106

Other identifiers 2

IdentifierTypeStateIssuer
7100202400MedicaidKY
7100202450MedicaidKY

Other names 2

  • American Medical Response; AMR; Lifeguard Emergency Medical Services Doing business as
  • Lifeguard Ambulance Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693094400000",
    "number": "1548293293",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 BULL LEA RD STE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111266",
            "telephone_number": "859-254-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY AMBULANCE OF EVANSVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-08-27",
        "certification_date": "2023-08-27",
        "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"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100202400",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100202450",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Medical Response; AMR; Lifeguard Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "American Medical Response; AMR; Lifeguard Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lifeguard Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2023; 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.

Verify at the official NPI Registry.