OHIO COUNTY RESCUE SERVICE INC NPI 1114018629

NPI Information

NPI: 1114018629
Provider Name: OHIO COUNTY RESCUE SERVICE INC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 15D0676756

Address:
121 S HIGH ST
RISING SUN, IN
ZIP 47040
Phone: (812) 438-3100
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OHIO COUNTY RESCUE SERVICE INC is a land transport ambulance in Rising Sun, IN. OHIO COUNTY RESCUE SERVICE INC NPI is 1114018629. The provider is registered as an organization entity type.

The provider's business location address is:

121 S HIGH ST
RISING SUN, IN
ZIP 47040-180
Phone: (812) 438-3100

The provider's authorized official is Myrle White .
The authorized official title is Chief and has the following contact phone number (812) 438-3100.

The CLIA number assigned to this NPI record is 15D0676756 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	0170	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000341648	OTHER	KENTUCKY	ANTHEM
2	=========00	OTHER	OHIO	OH WORKERS COMP
3	219300	MEDICARE PIN	INDIANA
4	800605	OTHER	INDIANA	BLACK LUNG
5	=========	OTHER	INDIANA	TRICARE
6	55001143	MEDICAID	KENTUCKY
7	=========	OTHER	INDIANA	UMWA
8	2532610	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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