Pike County Medical Transport LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PIKE COUNTY MEDICAL TRANSPORT LLC

Practice address

4747 N County Road 575 E
Petersburg, IN 47567-8804

Phone

(812) 582-0305

Fax

(800) 381-9767

NPI assigned

Jun 10, 2009

Last updated

Jun 10, 2009By 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

Mrs. Connie Whitehead

Title

Chief Executive Manager

Phone

(812) 582-0305

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1720214232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 N COUNTY ROAD 575 E",
            "city": "PETERSBURG",
            "state": "IN",
            "postal_code": "475678804",
            "telephone_number": "812-582-0305",
            "fax_number": "800-381-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 N COUNTY ROAD 575 E",
            "city": "PETERSBURG",
            "state": "IN",
            "postal_code": "475678804",
            "telephone_number": "812-582-0305",
            "fax_number": "800-381-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE COUNTY MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE MANAGER",
        "authorized_official_telephone_number": "812-582-0305",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pike County Area Rehabilitation Centers Inc
• Pike County Area Rehabilitation Centers Inc
• Pike County Auditor (Pike County Emergency Medical Service)
• Pike County Emergency Medical Service
• Pike County Health Department
• Pike County School Corp
• Renee Abrassart Ramsey
• Leslie Roberts, RN
• Nicole Leigh Roy, RN
• Adam R Rudolph, MD

• Land Ambulance in Petersburg, IN
• Providers in Petersburg, IN by specialty
• Land Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.