Mercy Ambulance of Evansville Inc
Organization Active NPI Ambulance · Hyden, KY
NPI 1801439666 · NPPES record last updated Mar 16, 2026
Key facts
- NPI
- 1801439666
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- MERCY AMBULANCE OF EVANSVILLE INC
- Practice address
- 105 Dryhill Rd
Hyden, KY 41749-8929 - Phone
- (606) 672-3450
- NPI assigned
- Oct 24, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- MERCY AMBULANCE OF EVANSVILLE INC
Authorized official
- Name
- Brian Scott Tierney
- Title
- Evp, Chief Financial Officer
- Phone
- (833) 703-2294
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 6
Corporate family (same tax ID) 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050518000227 | KY | Part B Supplier - Ambulance Service Supplier | 2365405487 |
6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Prestonsburg, KY; Pikeville, KY; Owensboro, KY; Hyden, KY; Harlan, KY; Cumberland, KY; MC Dowell, KY |
National Provider Directory
- Tax ID family
- Mercy Amb Evansville Inc
- Part of
- Mercy Amb Evansville Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Yes | ||
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
105 Dryhill Rd
Hyden, KY 41749-8929
Mailing address
PO Box 100217
Atlanta, GA 30384-0217
Phone (800) 913-9106
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100649600 | Medicaid | KY | |
| 7100656110 | Medicaid | KY |
Other names
- American Medical Response; AMR; Lifeguard Emergency Medical Services
- Lifeguard Ambulance
Other providers in Hyden, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.