Gibson County Auditor

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

GIBSON COUNTY AUDITOR

Practice address

203 S Prince St Ste a
Princeton, IN 47670-2151

Phone

(812) 385-3831

Fax

(812) 386-8027

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Lee Tuley, RN

Title

Administrator

Phone

(812) 385-3831

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Gibson County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Gibson County Auditor

  • Ambulance
  • Princeton, IN
  • NPI 1255353967

  5092989806

  Same PAC ID

Tax ID family

Gibson County Ambulance Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gibson County Auditor

  • Ambulance
  • Princeton, IN
  • NPI 1255353967
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Carlton Brink Jr., DO

  • Family Medicine Physician
  • Princeton, IN
  • NPI 1902898190
  NPD
• Shayegan Shamsaie, DDS

  • General Practice Dentistry
  • Princeton, IN
  • NPI 1992712533
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1215095344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S PRINCE ST STE A",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476702151",
            "telephone_number": "812-385-3831",
            "fax_number": "812-386-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S PRINCE ST STE A",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476702151",
            "telephone_number": "812-385-3831",
            "fax_number": "812-386-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON COUNTY AUDITOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "TULEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "812-385-3831",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200317570",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gibson County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gibson Co. Area Rehabilitation Centers, Inc
• Gibson County Area Rehabilitation Centers Inc
• Gibson County Area Rehabilitation Centers Inc
• Gibson County Area Rehabilitation Centers Inc
• Gibson County Area Rehabilitation Centers Inc
• Gibson County Auditor
• Gibson County Chiropractic, LLC
• Gibson County Council on Aging, Inc.
• Gibson County Eyecare
• Gibson County Eyecare Inc

• All providers in Princeton, IN
• State or Local Public Health Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.