Organization Active NPI

City of Anderson

Doing business as Anderson Fire Dept

  • Land Ambulance
  • Anderson, IN
National Provider Identifier
1235137829
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0109 Issued in IN
Legal business name
CITY OF ANDERSON
Doing business as
Anderson Fire Dept
Practice address
44 W 5TH St
Anderson, IN 46016-1113
Phone
(765) 648-6600
Fax
(765) 748-6625
NPI assigned
Jul 8, 2005
Last updated
Jul 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Denny A Jones
Title
Captain of Records
Phone
(765) 648-6613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0109 IN Primary

Addresses

Primary practice location

44 W 5TH St
Anderson, IN 46016-1113

Mailing address

44 W 5TH St
Anderson, IN 46016
Phone (765) 648-6613

Other identifiers 1

IdentifierTypeStateIssuer
200122990MedicaidIN

Other names 1

  • Anderson Fire Dept Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040513001314 IN Part B Supplier - Ambulance Service Supplier 0648260414 Practice locations: Anderson, IN

National Provider Directory

National Provider Directory

Locations

105 W 53rd St
Anderson, IN 46013
Phone (765) 648-6608

133 W 29th St
Anderson, IN 46016
Phone (765) 648-6606

2103 Columbus Ave
Anderson, IN 46016
Phone (765) 648-6603

2230 E 8th St
Anderson, IN 46012
Phone (765) 648-6607

2300 W 22nd St
Anderson, IN 46016
Phone (765) 648-6602

44 W 5th St
Anderson, IN 46016
Phone (765) 646-6623

621 W Cross St
Anderson, IN 46011
Phone (765) 648-6004

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1235137829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 W 5TH ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "46016",
            "telephone_number": "765-648-6613",
            "fax_number": "765-648-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 W 5TH ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460161113",
            "telephone_number": "765-648-6600",
            "fax_number": "765-748-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ANDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DENNY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CAPTAIN OF RECORDS",
        "authorized_official_telephone_number": "765-648-6613"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200122990",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Fire Dept",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.