Sunman Area Life Squad, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0004 Issued in IN

Legal business name

SUNMAN AREA LIFE SQUAD, INC.

Practice address

403 N Meridian St
Sunman, IN 47041

Phone

(812) 623-2763

Fax

(812) 623-5100

NPI assigned

Sep 26, 2006

Last updated

May 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Maynard

Title

Chief of EMS

Phone

(812) 623-2763

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1265533467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519907",
            "telephone_number": "574-293-3030",
            "fax_number": "574-294-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N MERIDIAN ST",
            "city": "SUNMAN",
            "state": "IN",
            "postal_code": "47041",
            "telephone_number": "812-623-2763",
            "fax_number": "812-623-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNMAN AREA LIFE SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CHIEF OF EMS",
        "authorized_official_telephone_number": "812-623-2763"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000303775",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200297690A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00164852",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy K Lawler, D.C.
• Suzanne Egbers Martini, M.D.
• Emma Sida
• Subluxation Chiropractic Inc
• Sunman Area Life Squad, Inc
• Sunman Rural Fire Department, Inc
• Sunman-Dearborn Community Schools
• Sarah Watts
• Amber Willwerth

• Land Ambulance in Sunman, IN
• Providers in Sunman, IN by specialty
• Land Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.

Verify at the official NPI Registry.