Organization Active NPI

Preferred One Ambulance

  • Ambulance
  • Michigan City, IN
National Provider Identifier
1871266882
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
PREFERRED ONE AMBULANCE
Practice address
651 E US Highway 20 Ste 1
Michigan City, IN 46360-7419
Phone
(219) 262-0015
NPI assigned
Jul 26, 2021
Last updated
Nov 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Eric Phillips
Title
Member
Phone
(219) 262-0015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary

Addresses

Primary practice location

651 E US Highway 20 Ste 1
Michigan City, IN 46360-7419

Mailing address

651 E US Highway 20 Ste 1
Michigan City, IN 46360-7419
Phone (219) 262-0015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210820001306 IN Part B Supplier - Ambulance Service Supplier 3577968023 Practice locations: Michigan City, IN

National Provider Directory

National Provider Directory

Locations

2424 Franklin St
Ste 211
Michigan City, IN 46360
Phone (219) 561-9146

651 E US Highway 20
Ste 1
Michigan City, IN 46360
Phone (219) 262-0015

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1871266882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 E US HIGHWAY 20 STE 1",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607419",
            "telephone_number": "219-262-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 E US HIGHWAY 20 STE 1",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607419",
            "telephone_number": "219-262-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED ONE AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-26",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "219-262-0015"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.