Active NPI
Moores Hill Sparta Township Volunteer Fire Department Inc.
- Land Ambulance
- Moores Hill, IN
National Provider Identifier
1053757310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0006
- 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, 2013
- 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
- Robert Russell
- Title
- Fire Chief
- Phone
- (812) 744-3787
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131015000105 | IN | Part B Supplier - Ambulance Service Supplier | 5991939555 | Practice locations: Moores Hill, IN |
National Provider Directory
National Provider DirectoryLocations
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.