Adams Township of Madison County
Organization Active NPI Land Ambulance · Markleville, IN
NPI 1265628374 · NPPES record last updated May 28, 2024
Key facts
- NPI
- 1265628374
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- ADAMS TOWNSHIP OF MADISON COUNTY
- Practice address
- 7457 S 200 E
Markleville, IN 46056-9650 - Phone
- (765) 533-2240
- Fax
- (765) 533-4471
- NPI assigned
- Sep 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Linda D D Gustin
- Title
- EMS Captain
- Phone
- (765) 533-4373
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041025000766 | IN | Part B Supplier - Ambulance Service Supplier | 8022079805 | Practice locations: Markleville, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | IN | ||
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
7457 S 200 E
Markleville, IN 46056-9650
Mailing address
7457 S 200 E
Markleville, IN 46056-9650
Phone (765) 533-2240
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200455680A | Medicaid | IN |
Other names
- Adams Markleville Fire Protection Territory
Other providers in Markleville, IN
All providers in Markleville, 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 May 28, 2024. 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.