Active NPI
Fire Department of Liberty Township Hendricks County Indiana Inc
- Ambulance
- Clayton, IN
National Provider Identifier
1023067832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 0085
- Legal business name
- FIRE DEPARTMENT OF LIBERTY TOWNSHIP HENDRICKS COUNTY INDIANA INC
- Practice address
- 111 East Kentucky Street
Clayton, IN 46118-9482 - Phone
- (317) 775-6753
- Fax
- (317) 849-6632
- NPI assigned
- May 9, 2006
- Last updated
- May 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Alan McKamey
- Title
- EMS Chief
- Phone
- (317) 775-6753
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 0085 | IN | Primary |
Addresses
Primary practice location
111 East Kentucky Street
Clayton, IN 46118-9482
Mailing address
PO Box 50890
Indianapolis, IN 46250-0890
Phone (317) 849-6628
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300020356A | Medicaid | IN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683763200000",
"number": "1023067832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50890",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462500890",
"telephone_number": "317-849-6628",
"fax_number": "317-849-6632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 EAST KENTUCKY STREET",
"city": "CLAYTON",
"state": "IN",
"postal_code": "461189482",
"telephone_number": "317-775-6753",
"fax_number": "317-849-6632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRE DEPARTMENT OF LIBERTY TOWNSHIP HENDRICKS COUNTY INDIANA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-09",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A",
"authorized_official_last_name": "MCKAMEY",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "EMS CHIEF",
"authorized_official_telephone_number": "317-775-6753",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "IN",
"license": "0085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300020356A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clayton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.