Organization Active NPI

Jackson County Auditor

  • Land Ambulance
  • Seymour, IN
National Provider Identifier
1043385883
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0391 Issued in IN
Legal business name
JACKSON COUNTY AUDITOR
Practice address
616 W Brown St
Seymour, IN 47274-2970
Phone
(812) 523-7501
Fax
(812) 522-8670
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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

Authorized official

Name
Mr. Dennis Brasher, EMT-P
Title
Executive Director
Phone
(812) 523-7501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0391 IN Primary

Addresses

Primary practice location

616 W Brown St
Seymour, IN 47274-2970

Mailing address

209 S Armstrong St
Crothersville, IN 47229-1601
Phone (812) 793-8141

Other names 1

  • Jackson County Ambulance Service Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100610000703 IN Part B Supplier - Ambulance Service Supplier 0547390908 Practice locations: Seymour, IN

National Provider Directory

National Provider Directory
Tax ID family
Jackson County Ambulance Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

616 W Brown St
Seymour, IN 47274
Phone (812) 523-7500

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514851200000",
    "number": "1043385883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S ARMSTRONG ST",
            "city": "CROTHERSVILLE",
            "state": "IN",
            "postal_code": "472291601",
            "telephone_number": "812-793-8141",
            "fax_number": "812-793-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 W BROWN ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742970",
            "telephone_number": "812-523-7501",
            "fax_number": "812-522-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY AUDITOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2018-01-02",
        "status": "A",
        "authorized_official_last_name": "BRASHER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "812-523-7501",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seymour, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; 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.