City of Connersville

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

01057220A Issued in IN

Legal business name

CITY OF CONNERSVILLE

Doing business as

Fayette County First Aid

Practice address

2330 N Park Rd
Connersville, IN 47331-2904

Phone

(765) 825-3524

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Rosemary Brown

Title

City Clerk Treasurer

Phone

(765) 825-1271

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Fayette County First Aid Doing business as

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1033250220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N CENTRAL AVE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312046",
            "telephone_number": "765-825-6706",
            "fax_number": "765-827-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 N PARK RD",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312904",
            "telephone_number": "765-825-3524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 W Mount St",
            "address_purpose": "LOCATION",
            "city": "Connersville",
            "state": "IN",
            "postal_code": "473311680",
            "country_code": "US",
            "telephone_number": "765-825-3524",
            "fax_number": "765-827-5964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CITY OF CONNERSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "CITY CLERK TREASURER",
        "authorized_official_telephone_number": "765-825-1271",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "01057220A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000315505",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100282160A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fayette County First Aid",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fayette County First Aid",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.