Town of Bourbon

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

TOWN OF BOURBON

Practice address

104 E Park Ave
Bourbon, IN 46504-1528

Phone

(574) 342-4755

Fax

(574) 342-3205

NPI assigned

Oct 6, 2006

Last updated

Aug 22, 2020By 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

Mrs. Kimberly A Berger

Title

Clerk-Treasurer

Phone

(574) 342-4755

Specialties & licenses 1

Addresses

Other names 1

• Bourbon Community EMS Other name

Locations

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124115613",
    "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": "574-342-4755",
            "fax_number": "574-342-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E PARK AVE",
            "city": "BOURBON",
            "state": "IN",
            "postal_code": "465041528",
            "telephone_number": "574-342-4755",
            "fax_number": "574-342-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF BOURBON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLERK-TREASURER",
        "authorized_official_telephone_number": "574-342-4755",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bourbon Community EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.