City of Peru

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF PERU

Practice address

85 W Canal St
Peru, IN 46970-2172

Phone

(765) 472-2410

NPI assigned

Jun 25, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chris Betzner

Title

Fire Chief

Phone

(765) 472-2410

Specialties & licenses 1

Addresses

Other names 1

• Peru City Fire Department Other name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1013228808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 W CANAL ST",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469702172",
            "telephone_number": "765-472-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 W CANAL ST",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469702172",
            "telephone_number": "765-472-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PERU",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "BETZNER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "765-472-2410"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peru City Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Land Ambulance in Peru, IN
• Providers in Peru, IN by specialty
• Land Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.