Organization Active NPI

Crawfordsville Emergency Ambulance Service

  • Ambulance
  • Crawfordsville, IN
National Provider Identifier
1225095078
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
540002 Issued in IN
Legal business name
CRAWFORDSVILLE EMERGENCY AMBULANCE SERVICE
Practice address
100 S Water St
Crawfordsville, IN 47933-2533
Phone
(765) 362-1277
Fax
(765) 364-5187
NPI assigned
Apr 26, 2006
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Mrs. Shirley M Kadinger
Title
Secretary
Phone
(765) 362-1277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 540002 IN Primary

Addresses

Primary practice location

100 S Water St
Crawfordsville, IN 47933-2533

Mailing address

100 S Water St
Crawfordsville, IN 47933-2533
Phone (765) 362-1277

Other identifiers 2

IdentifierTypeStateIssuer
100281620AMedicaidIN
000000214589OtherINANTHEM BC/BS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1225095078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S WATER ST",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479332533",
            "telephone_number": "765-362-1277",
            "fax_number": "765-364-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S WATER ST",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479332533",
            "telephone_number": "765-362-1277",
            "fax_number": "765-364-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORDSVILLE EMERGENCY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "KADINGER",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "765-362-1277",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": "540002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100281620A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000214589",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.