Trinity Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1168 Issued in IN

Legal business name

TRINITY AMBULANCE SERVICE

Practice address

5741 S State Road 61
Winslow, IN 47598-8929

Phone

(812) 582-8481

Fax

(800) 381-9767

NPI assigned

Jan 16, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Stephen C Whitehead

Title

Chief Executive Officer

Phone

(812) 582-8481

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1770820375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5741 S STATE ROAD 61",
            "city": "WINSLOW",
            "state": "IN",
            "postal_code": "475988929",
            "telephone_number": "812-582-8481",
            "fax_number": "800-381-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5741 S STATE ROAD 61",
            "city": "WINSLOW",
            "state": "IN",
            "postal_code": "475988929",
            "telephone_number": "812-582-8481",
            "fax_number": "800-381-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "812-582-8481",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "1168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy L Hudnall, MSW
• Kelsey Rae Lemond, OTD, OTR
• Jennifer Lynn Loper, M.S.W., LCSW
• Pike County Area Rehabilitation Centers Inc
• Tama Jo Powers
• Winslow Community Health Center, Inc.
• Winslow Medical Center, Inc
• Sophia Ann Woodall, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.