Nineveh-Township-Volunteer-Fire Department Inc
Organization Active NPI Ambulance · Nineveh, IN
NPI 1104169762 · NPPES record last updated Aug 3, 2023
Key facts
- NPI
- 1104169762
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 1001 (IN)
- Legal business name
- NINEVEH-TOWNSHIP-VOLUNTEER-FIRE DEPARTMENT INC
- Practice address
- 844 E 775 S
Nineveh, IN 46164-9212 - Phone
- (317) 933-2567
- NPI assigned
- Apr 2, 2013
- Organization subpart
- No
Authorized official
- Name
- Matthew S Smith
- Title
- Fire Chief
- Phone
- (317) 775-6753
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130821000762 | IN | Part B Supplier - Ambulance Service Supplier | 6507009669 | Practice locations: Nineveh, IN |
National Provider Directory
Locations
844 E 775 S
Nineveh, IN 46164
Phone (317) 933-2567
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1001 | IN | Yes |
Addresses
Primary practice location
844 E 775 S
Nineveh, IN 46164-9212
Mailing address
PO Box 56002
Indianapolis, IN 46256-0002
Phone (317) 849-6628
Other providers in Nineveh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.