Active NPI
Cleveland Township
- Land Ambulance
- Elkhart, IN
National Provider Identifier
1255038154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CLEVELAND TOWNSHIP
- Practice address
- 29515 County Road 6
Elkhart, IN 46514-9513 - Phone
- (574) 264-5443
- NPI assigned
- Feb 10, 2023
- Last updated
- Mar 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Travis
- Title
- Fire Chief
- Phone
- (574) 264-5443
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
29515 County Road 6
Elkhart, IN 46514-9513
Mailing address
PO Box 2122
Riverview, MI 48193-1122
Phone (734) 224-4474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230207000564 | IN | Part B Supplier - Ambulance Service Supplier | 9032581764 |
1 other NPI on this enrollment Practice locations: Elkhart, IN |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Cleveland Township Fire Department
- Land Ambulance
- Elkhart, IN
- NPI 1699791020
O20230207000564
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710460800000",
"number": "1255038154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2122",
"city": "RIVERVIEW",
"state": "MI",
"postal_code": "481931122",
"telephone_number": "734-224-4474",
"fax_number": "734-479-6319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29515 COUNTY ROAD 6",
"city": "ELKHART",
"state": "IN",
"postal_code": "465149513",
"telephone_number": "574-264-5443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEVELAND TOWNSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-10",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A",
"authorized_official_last_name": "TRAVIS",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "574-264-5443"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.