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General NPI Number Information
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NPI Number | 1376576181
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Entity Type | Organization
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Legal Business Name | MERCY AMBULANCE OF EVANSVILLE INC
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 950 E VIRGINIA ST
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City | EVANSVILLE
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State | IN
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Zip | 47711-0000
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Country | US
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Telephone | 812-421-6500
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Fax | 812-428-2621
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Provider Business Mailing Address
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Address Line | PO BOX 100217
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City | ATLANTA
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State | GA
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Zip | 30384-0217
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Country | US
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Telephone | 800-913-9106
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Fax |
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | TIMOTHY JOSEPH DORN
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Credential |
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Telephone | 833-703-2294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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