Town of Syracuse

Key facts

NPI

1154435386

Entity type

Organization (NPI type 2)

Primary specialty

Land Ambulance 3416L0300X

License

0206 (IN)

Legal business name

TOWN OF SYRACUSE

Practice address

402 N Huntington St
Syracuse, IN 46567-1226

Phone

(574) 457-4100

Fax

(574) 457-5505

NPI assigned

Aug 17, 2006

Organization subpart

No

Authorized official

Name

Mrs. Julie A Kline

Title

Clerk-Treasurer

Phone

(574) 457-3216

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• Town of Syracuse Ambulance Service Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154435386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N HUNTINGTON ST",
            "city": "SYRACUSE",
            "state": "IN",
            "postal_code": "465671309",
            "telephone_number": "574-457-3216",
            "fax_number": "574-457-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N HUNTINGTON ST",
            "city": "SYRACUSE",
            "state": "IN",
            "postal_code": "465671226",
            "telephone_number": "574-457-4100",
            "fax_number": "574-457-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF SYRACUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLERK-TREASURER",
        "authorized_official_telephone_number": "574-457-3216",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC / BS",
            "identifier": "000000211100",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "I007263",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Syracuse Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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