Organization Active NPI

Moores Hill Sparta Township Volunteer Fire Department Inc.

  • Land Ambulance
  • Moores Hill, IN
National Provider Identifier
1053757310
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0006 Issued in IN
Legal business name
MOORES HILL SPARTA TOWNSHIP VOLUNTEER FIRE DEPARTMENT INC.
Practice address
16907 Manchester St
Moores Hill, IN 47032-9152
Phone
(812) 744-3787
NPI assigned
May 14, 2013
Last updated
May 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Authorized official

Name
Robert Russell
Title
Fire Chief
Phone
(812) 744-3787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0006 IN Primary

Addresses

Primary practice location

16907 Manchester St
Moores Hill, IN 47032-9152

Mailing address

16907 Manchester St
P.O. Box 409
Moores Hill, IN 47032-9152
Phone (812) 744-3787

Other names 1

  • Moores Hill/Sparta Townhsip VFD & EMS Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131015000105 IN Part B Supplier - Ambulance Service Supplier 5991939555 Practice locations: Moores Hill, IN

National Provider Directory

National Provider Directory

Locations

16907 Manchester St
Moores Hill, IN 47032
Phone (812) 655-4642

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1053757310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16907 MANCHESTER ST",
            "address_2": "P.O. BOX 409",
            "city": "MOORES HILL",
            "state": "IN",
            "postal_code": "470329152",
            "telephone_number": "812-744-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16907 MANCHESTER ST",
            "city": "MOORES HILL",
            "state": "IN",
            "postal_code": "470329152",
            "telephone_number": "812-744-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORES HILL SPARTA TOWNSHIP VOLUNTEER FIRE DEPARTMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "812-744-3787"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moores Hill/Sparta Townhsip VFD & EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Moores Hill, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.