Organization Active NPI

Jefferson Center Whitley County VFD

  • Land Ambulance
  • Columbia City, IN
National Provider Identifier
1255567624
Registry record updated May 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0799 Issued in IN
Legal business name
JEFFERSON CENTER WHITLEY COUNTY VFD
Practice address
5090 E 800 S
Columbia City, IN 46725-9294
Phone
(260) 396-2112
NPI assigned
May 30, 2009
Last updated
May 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2009

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

Authorized official

Name
Mr. Chad Alan Nix, EMT-B
Title
Assisitant Chief
Phone
(260) 229-2347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0799 IN Primary

Addresses

Primary practice location

5090 E 800 S
Columbia City, IN 46725-9294

Mailing address

5090 E 800 S
Columbia City, IN 46725-9294
Phone (260) 396-2112

National Provider Directory

National Provider Directory

Locations

5090 E 800 S
Columbia City, IN 46725
Phone (260) 396-2112

NPI Registry JSON

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

{
    "created_epoch": "1243641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243641600000",
    "number": "1255567624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5090 E 800 S",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467259294",
            "telephone_number": "260-396-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5090 E 800 S",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467259294",
            "telephone_number": "260-396-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON CENTER WHITLEY COUNTY VFD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-30",
        "last_updated": "2009-05-30",
        "status": "A",
        "authorized_official_last_name": "NIX",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "ASSISITANT CHIEF",
        "authorized_official_telephone_number": "260-229-2347",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-B"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.