Town of Clarksville

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

TOWN OF CLARKSVILLE

Practice address

2249 Sam Gwin Dr
Clarksville, IN 47129-9206

Phone

(812) 282-7619

NPI assigned

Apr 2, 2024

Organization subpart

No

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

Authorized official

Name

Eric Deich, PARAMEDIC

Title

Paramedic

Phone

(812) 282-7619

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1174375422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2249 SAM GWIN DR",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471299206",
            "telephone_number": "812-282-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2249 SAM GWIN DR",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471299206",
            "telephone_number": "812-282-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF CLARKSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "DEICH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PARAMEDIC",
        "authorized_official_telephone_number": "812-282-7619",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Thompson
• Jeanelle Thompson
• Karrina Thompson
• Samuel Jeffrey Thompson, DPT
• Chelsea Toler
• Kristina Traughber, RBT
• Elizabeth Seeger Troy, LMFT, M DIV
• Jordan T Tyree, RBT
• Sarah Vanlsenberg
• Miranda Veatch

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.