Organization
MERCURY AMBULANCE SERVICE INC
Active
Other names
American Medical Response - Louisville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC THOMAS (SVP OF REVENUE MANAGEMENT)
(833) 703-2294
Entity
Organization
Contact information
Practice address
421 GERNERT CT, LOUISVILLE, KY 40217-1027
(502) 636-0414
(502) 214-7431
Mailing address
PO BOX 100217, ATLANTA, GA 30384-0217
(800) 913-9106
(330) 384-4019
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
1107
KY
3416L0300X
Land Ambulance
Primary
1594
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200985180A
—
IN
05
—
55034045
—
KY
05
—
56004393
—
KY
Enumeration date
09/11/2006
Last updated
08/12/2022
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