Mercy Regional Emergency Medical System LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1011 Issued in KY

Legal business name

MERCY REGIONAL EMERGENCY MEDICAL SYSTEM LLC

Practice address

3551 Coleman Rd
Paducah, KY 42001

Phone

(270) 443-6529

Fax

(270) 444-9128

NPI assigned

Dec 6, 2005

Last updated

Apr 5, 2021By 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

Jeremy Jeffrey

Title

EMS Director

Phone

(270) 443-6529

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

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

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Baptist Healthcare System Inc

  dba Baptist Health Corbin EMS

  • Land Ambulance
  • Corbin, KY
  • NPI 1073247094

  Member Of

  NPD member
• Mercy Health-Lourdes Hospital LLC

  dba Harness Health Pharmacy

  • Community/Retail Pharmacy
  • Paducah, KY
  • NPI 1700214558

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1851375562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-744-8413",
            "fax_number": "270-744-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 COLEMAN RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42001",
            "telephone_number": "270-443-6529",
            "fax_number": "270-444-9128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 Estes Ln",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420030467",
            "country_code": "US",
            "telephone_number": "270-443-6529",
            "fax_number": "270-444-9128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 South 6th St",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "42001",
            "country_code": "US",
            "telephone_number": "270-443-6529",
            "fax_number": "270-444-9128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Cave Thomas Dr",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420015807",
            "country_code": "US",
            "telephone_number": "270-443-6529",
            "fax_number": "270-444-9128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY REGIONAL EMERGENCY MEDICAL SYSTEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "JEFFREY",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "270-443-6529"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55073050",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56007172",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1519184",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Health-Lourdes Hospital LLC (Harness Health Pharmacy)
• Mercy Health-Lourdes Hospital LLC (Lourdes Inc - Skilled Nursing)
• Mercy Health-Lourdes Hospital LLC (Lourdes Hospital)
• Mercy Health-Lourdes Hospital LLC (Mercy Health Home Care Paducah)
• Mercy Health-Lourdes Hospital LLC
• Joshua Simon Meredith, MD
• Lisa Meredith
• Merit Behavioral Associates, Inc
• Elizabeth Mescher, PT
• David Andrew Meyer, MD

• Land Ambulance in Paducah, KY
• Providers in Paducah, KY by specialty
• Land Ambulance in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.