Organization Active NPI

Dillsboro Emergency Ambulance Unit, Inc.

  • Land Ambulance
  • Dillsboro, IN
National Provider Identifier
1710090287
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0038 Issued in IN
Legal business name
DILLSBORO EMERGENCY AMBULANCE UNIT, INC.
Practice address
13036 North St.
Dillsboro, IN 47018
Phone
(812) 432-3169
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Harry J Witteride
Title
Captain
Phone
(812) 290-6403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0038 IN Primary

Addresses

Primary practice location

13036 North St.
Dillsboro, IN 47018

Mailing address

PO Box 392907
Pittsburgh, PA 15251
Phone (800) 962-1484

Other identifiers 3

IdentifierTypeStateIssuer
000000305222OtherINANTHEM
200368320AMedicaidIN
P00129139OtherRRMC PTAN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D1052809Dillsboro Emergency Unit13036 North St, Dillsboro, IN 47018Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1710090287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15251",
            "telephone_number": "800-962-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13036 NORTH ST.",
            "city": "DILLSBORO",
            "state": "IN",
            "postal_code": "47018",
            "telephone_number": "812-432-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILLSBORO EMERGENCY AMBULANCE UNIT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "WITTERIDE",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "812-290-6403"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000305222",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200368320A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC PTAN",
            "identifier": "P00129139",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillsboro, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.