Organization Active NPI

Precision Ambulance LLC

Doing business as St Clair EMS

  • Land Ambulance
  • Connersville, IN
National Provider Identifier
1649691494
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2371 Issued in IN
Legal business name
PRECISION AMBULANCE LLC
Doing business as
St Clair EMS
Practice address
722 N Eastern Ave
Connersville, IN 47331-2062
Phone
(765) 222-1062
Fax
(765) 222-1190
NPI assigned
Dec 20, 2013
Last updated
Oct 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Ms. Rebecca St Clair
Title
President
Phone
(765) 222-1062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2371 IN Primary

Addresses

Primary practice location

722 N Eastern Ave
Connersville, IN 47331-2062

Mailing address

PO Box 424
Connersville, IN 47331-0424
Phone (765) 222-1062

Other identifiers 3

IdentifierTypeStateIssuer
000000855060OtherINANTHEM BCBS
201217210AMedicaidIN
P10297344OtherINPALMETTO RAILROAD MEDICARE

Other names 1

  • ST CLAIR EMS Doing business as

National Provider Directory

National Provider Directory

Locations

722 N Eastern Ave
Connersville, IN 47331
Phone (765) 222-1062

NPI Registry JSON

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1649691494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473310424",
            "telephone_number": "765-222-1062",
            "fax_number": "765-222-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 N EASTERN AVE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312062",
            "telephone_number": "765-222-1062",
            "fax_number": "765-222-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "ST CLAIR",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-222-1062",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "2371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000855060",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201217210A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RAILROAD MEDICARE",
            "identifier": "P10297344",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST CLAIR EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Connersville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.