Eel River Township Fire Rescue Inc
Organization Active NPI Land Ambulance · North Salem, IN
NPI 1245623909 · NPPES record last updated Mar 5, 2015
Key facts
- NPI
- 1245623909
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 0507 (IN)
- Legal business name
- EEL RIVER TOWNSHIP FIRE RESCUE INC
- Practice address
- 607 West Pearl Street
North Salem, IN 46165 - Phone
- (765) 676-6425
- NPI assigned
- Mar 5, 2015
- Organization subpart
- No
Authorized official
- Name
- Jodi Bondy
- Title
- Administrator
- Phone
- (765) 676-6425
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160321001182 | IN | Part B Supplier - Ambulance Service Supplier | 0648577569 | Practice locations: North Salem, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0507 | IN | Yes |
Addresses
Primary practice location
607 West Pearl Street
North Salem, IN 46165
Mailing address
PO Box 9
North Salem, IN 46165-0009
Phone (765) 676-6425
Other providers in North Salem, IN
All providers in North Salem, IN · Land Ambulance in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.