City of Elkhart

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0135 Issued in IN

Legal business name

CITY OF ELKHART

Practice address

500 East St
Elkhart, IN 46516-3610

Phone

(734) 253-0103

Fax

(574) 522-1023

NPI assigned

Jan 24, 2007

Last updated

Nov 14, 2025By 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

Mr. Shaun Edgerton

Title

Assistant Chief of Operations

Phone

(574) 293-8931

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Tax ID family

City of Elkhart2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• City of Elkhart

  • Ambulance
  • Elkhart, IN
  • NPI 1891746681
  NPD tax ID

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1114072964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2122",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481931122",
            "telephone_number": "800-926-6985",
            "fax_number": "336-510-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 EAST ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465163610",
            "telephone_number": "734-253-0103",
            "fax_number": "574-522-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ELKHART",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "EDGERTON",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "ASSISTANT CHIEF OF OPERATIONS",
        "authorized_official_telephone_number": "574-293-8931",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": "0135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Chung, MD
• Deanna Chupp, MSW
• Amelia Chuppe, OTR/L
• Mary Ann Cintron
• Christine Marie Cisneros, M.D.
• City of Elkhart
• City Optical Co., Inc. (Dr Tavel Family Eye Care)
• Elizabeth Ciupinski
• Meghan Clairday
• Benjamin Jacob Clark, CRNA

• Ambulance in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.