Utica Township Volunteer Fire Fighters Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0492 Issued in IN

Legal business name

UTICA TOWNSHIP VOLUNTEER FIRE FIGHTERS ASSOCIATION

Practice address

5820 Utica Pike
Jeffersonville, IN 47130-8407

Phone

(812) 920-0220

Fax

(812) 288-2371

NPI assigned

Jun 28, 2005

Organization subpart

No

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

Authorized official

Name

Matthew Owen

Title

President/Ceo

Phone

(812) 920-0220

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• New Chapel EMS 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": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1083610679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424315011",
            "telephone_number": "270-824-8123",
            "fax_number": "270-824-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 UTICA PIKE",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471308407",
            "telephone_number": "812-920-0220",
            "fax_number": "812-288-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTICA TOWNSHIP VOLUNTEER FIRE FIGHTERS ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "812-920-0220"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200279960",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Chapel EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexey Tyler
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• James M Van Daalen, M.D.
• Hilary Van Horn, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.