NPIMap

Organization Active NPI

Madison TWP Hoagland EMS, Inc.

  • Land Ambulance
  • Hoagland, IN
National Provider Identifier
1073626586
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0330 Issued in IN
Legal business name
MADISON TWP HOAGLAND EMS, INC.
Practice address
11316 Hoagland Rd
Hoagland, IN 46745
Phone
(260) 639-6161
Fax
(260) 639-6161
NPI assigned
Aug 17, 2006
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Nate Stine
Title
EMS President
Phone
(260) 639-6161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0330 IN Primary

Addresses

Primary practice location

11316 Hoagland Rd
Hoagland, IN 46745

Mailing address

PO Box 2915
Elkhart, IN 46515-2915
Phone (574) 293-3030

Other identifiers 2

IdentifierTypeStateIssuer
100288760AMedicaidIN
000000234543OtherINANTHEM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1073626586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2915",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465152915",
            "telephone_number": "574-293-3030",
            "fax_number": "574-294-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11316 HOAGLAND RD",
            "city": "HOAGLAND",
            "state": "IN",
            "postal_code": "46745",
            "telephone_number": "260-639-6161",
            "fax_number": "260-639-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON TWP HOAGLAND EMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "STINE",
        "authorized_official_first_name": "NATE",
        "authorized_official_title_or_position": "EMS PRESIDENT",
        "authorized_official_telephone_number": "260-639-6161"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100288760A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000234543",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoagland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.