Organization Active NPI

Kokomo Fire Department

  • Land Ambulance
  • Kokomo, IN
National Provider Identifier
1174529499
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
340020 Issued in IN
Legal business name
KOKOMO FIRE DEPARTMENT
Practice address
215 W Superior St
Kokomo, IN 46901-4637
Phone
(765) 456-2039
Fax
(765) 456-7579
NPI assigned
Jun 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Bradley Bray, EMTB-PI
Title
EMS Chief
Phone
(765) 456-2039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 340020 IN Primary

Addresses

Primary practice location

215 W Superior St
Kokomo, IN 46901-4637

Mailing address

215 W Superior St
Kokomo, IN 46901-4637
Phone (765) 456-2039

National Provider Directory

National Provider Directory

Locations

215 W Superior St
Kokomo, IN 46901
Phone (765) 456-2039

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174529499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W SUPERIOR ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014637",
            "telephone_number": "765-456-2039",
            "fax_number": "765-456-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W SUPERIOR ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014637",
            "telephone_number": "765-456-2039",
            "fax_number": "765-456-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKOMO FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRAY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "765-456-2039",
        "authorized_official_credential": "EMTB-PI"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "340020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • 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.