GREENDALE EMERGENCY RESCUE, INC.


Address: 911 Ridge Ave, Greendale, IN 47025-1322
Phone: 8125371335

GREENDALE EMERGENCY RESCUE, INC. (NPI# 1699888180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699888180
Entity Type Organization
Organization Name GREENDALE EMERGENCY RESCUE, INC.
Practice Address 911 Ridge Ave
Greendale
IN 47025-1322
Practice Telephone 8125371335
Practice Fax Number 8125373850
Mailing Telephone 8125371335
Mailing Fax Number 8125373850
Enumeration Date 2006-08-17
Last Update Date 2017-04-21
Authorized Official Name TOMMY CRAIG (PRESIDENT)
Authorized Official Telephone 8125371335
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3416L0300X Ambulance
Specialization: Land Transport
0370 IN Transportation Services

Other Provider Identifier

State Issuer Identifier Type Code
IN 200802680A 05
IN ANTHEM 000000385477 01
RRMC PTAN P00399941 01

Office Location

Street Address 911 RIDGE AVE
City GREENDALE
State IN
Zip Code 47025-1322

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Taxonomy Information

Taxonomy Code 3416L0300X
Grouping Transportation Services
Classification Ambulance
Specialization Land Transport

Taxonomy Definition

Definition to come...
Notes: [1/1/2005: title modified]

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Competitor

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City GREENDALE
Zip Code 47025

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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