NPIMap

Organization Active NPI

Ladoga Rescue, Inc.

  • Land Ambulance
  • Ladoga, IN
National Provider Identifier
1174547657
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0499 Issued in IN
Legal business name
LADOGA RESCUE, INC.
Practice address
1025 E. Main St.
Ladoga, IN 47954-9999
Phone
(765) 942-2580
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Michael Hunley
Title
Director
Phone
(765) 942-2580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0499 IN Primary

Addresses

Primary practice location

1025 E. Main St.
Ladoga, IN 47954-9999

Mailing address

PO Box 266
Ladoga, IN 47954-0266
Phone (765) 942-2580

Other practice location 1

121 E. Main St.
Ladoga, IN 47954
Phone (765) 942-2531

Other identifiers 2

IdentifierTypeStateIssuer
200161580AMedicaidIN
000000318682OtherINANTHEM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1174547657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "LADOGA",
            "state": "IN",
            "postal_code": "479540266",
            "telephone_number": "765-942-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 E. MAIN ST.",
            "city": "LADOGA",
            "state": "IN",
            "postal_code": "479549999",
            "telephone_number": "765-942-2580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 E. Main St.",
            "address_purpose": "LOCATION",
            "city": "Ladoga",
            "state": "IN",
            "postal_code": "47954",
            "country_code": "US",
            "telephone_number": "765-942-2531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LADOGA RESCUE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "HUNLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "765-942-2580"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200161580A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000318682",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladoga, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.