Active NPI
Dillsboro Emergency Ambulance Unit, Inc.
- Land Ambulance
- Dillsboro, IN
National Provider Identifier
1710090287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0038
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000305222 | Other | IN | ANTHEM |
| 200368320A | Medicaid | IN | |
| P00129139 | Other | RRMC PTAN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D1052809 | Dillsboro Emergency Unit | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryNPI 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.