Organization Active NPI

Gibson County Auditor

Doing business as Gibson County Ambulance Service

  • Ambulance
  • Princeton, IN
National Provider Identifier
1255353967
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0082 Issued in IN
Legal business name
GIBSON COUNTY AUDITOR
Doing business as
Gibson County Ambulance Service
Practice address
605 N Embree St
Princeton, IN 47670
Phone
(812) 385-8967
Fax
(812) 386-5127
NPI assigned
Jul 24, 2006
Last updated
Aug 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Authorized official

Name
Mrs. Michelle J Mason
Title
Admin Asst
Phone
(812) 385-8967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0082 IN Primary

Addresses

Primary practice location

605 N Embree St
Princeton, IN 47670

Mailing address

PO Box 623
Princeton, IN 47670-0623
Phone (812) 385-8967

Other identifiers 4

IdentifierTypeStateIssuer
000000184709OtherBC
100281870AMedicaidIN
590568122OtherRRMC
0472778OtherTHE FUNDS

Other names 1

  • Gibson County Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111114000043 IN Part B Supplier - Ambulance Service Supplier 5092989806 Practice locations: Princeton, IN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2030620Gibson Co Ambulance Service605 N Embree St, Princeton, IN 47670Certificate of waiverSep 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Gibson County Ambulance Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

225 N Hart St
Princeton, IN 47670
Phone (812) 385-8967

605 N Embree St
Princeton, IN 47670
Phone (812) 385-8967

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1255353967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 623",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476700623",
            "telephone_number": "812-385-8967",
            "fax_number": "812-386-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N EMBREE ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "47670",
            "telephone_number": "812-385-8967",
            "fax_number": "812-386-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON COUNTY AUDITOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMIN ASST",
        "authorized_official_telephone_number": "812-385-8967",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": "0082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "000000184709",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100281870A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "590568122",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE FUNDS",
            "identifier": "0472778",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gibson County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.