Greentown Volunteer Fire Company

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0008 Issued in IN

Legal business name

GREENTOWN VOLUNTEER FIRE COMPANY

Practice address

224 N Meridian St
Greentown, IN 46936

Phone

(765) 628-7750

NPI assigned

Feb 8, 2007

Last updated

May 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kyle J Shrock

Title

Tres

Phone

(765) 438-6277

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1225179864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 335",
            "city": "GREENTOWN",
            "state": "IN",
            "postal_code": "469360335",
            "telephone_number": "765-628-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N MERIDIAN ST",
            "city": "GREENTOWN",
            "state": "IN",
            "postal_code": "46936",
            "telephone_number": "765-628-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENTOWN VOLUNTEER FIRE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "SHROCK",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "TRES",
        "authorized_official_telephone_number": "765-438-6277"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000365508",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200906690A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Greentown, IN
• Providers in Greentown, IN by specialty
• Land Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.