Town of Edgewood

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0587 Issued in IN

Legal business name

TOWN OF EDGEWOOD

Doing business as

Edgewood Volunteer Fire Department

Practice address

3323 Nichol Ave
Anderson, IN 46011-3001

Phone

(765) 298-6069

NPI assigned

Feb 13, 2013

Last updated

Apr 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Patricia A Farran

Title

Council President

Phone

(765) 649-5534

Specialties & licenses 1

Addresses

Other names 1

• Edgewood Volunteer Fire Department 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": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1083953905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 NICHOL AVE",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460113060",
            "telephone_number": "765-298-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3323 NICHOL AVE",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460113001",
            "telephone_number": "765-298-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF EDGEWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "FARRAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COUNCIL PRESIDENT",
        "authorized_official_telephone_number": "765-649-5534",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgewood Volunteer Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Shannon Todd, DO
• Linda Tomczuk, DPT
• Sahara Tomlin, RBT
• Warren Toole
• Total Life Care for Women, LLC
• Autumn Townsend
• Ricky Charles Townsend, RPH
• Tracey Carrel Townsend, LCSW
• Christina Trageser, LCSW
• Jonathan Alexander Trawick, PHARM.D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.