Healthcare Provider Details

I. General information

NPI: 1740823590
Provider Name (Legal Business Name): MERCY AMBULANCE OF EVANSVILLE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2019
Last Update Date: 08/27/2023
Certification Date: 08/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3068 HIGHWAY 160 S
HINDMAN KY
41822-9056
US

IV. Provider business mailing address

PO BOX 100217
ATLANTA GA
30384-0217
US

V. Phone/Fax

Practice location:
  • Phone: 606-785-5075
  • Fax:
Mailing address:
  • Phone: 800-913-9106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: ERIC THOMAS
Title or Position: SVP OF REVENUE MANAGEMENT
Credential:
Phone: 833-703-2294