Organization
MERCY AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTY LEE CHRISTIAN BSBA (DIRECTOR)
(502) 368-6551
Entity
Organization
Contact information
Practice address
468 HURON AVE, LOUISVILLE, KY 40209-1626
(502) 368-6551
(502) 368-8500
Mailing address
468 HURON AVE, LOUISVILLE, KY 40209-1626
(502) 368-6551
(502) 368-8500
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1109
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000069978
BLUE CROSS/BLUE SHIELD
KY
01
—
1056316
PASSPORT HEALTH PLAN
KY
05
—
55056097
—
KY
05
—
56004401
—
KY
Enumeration date
01/23/2006
Last updated
08/22/2020
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