Middletown-Fallcreek Township Emergency Service Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MIDDLETOWN-FALLCREEK TOWNSHIP EMERGENCY SERVICE INC.

Practice address

653 Locust St
Middletown, IN 47356-1436

Phone

(317) 775-6753

NPI assigned

Oct 22, 2006

Organization subpart

No

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

Authorized official

Name

Jill Rednour

Title

Treasurer

Phone

(317) 775-6753

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

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

{
    "created_epoch": "1161475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1275616641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50890",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462500890",
            "telephone_number": "317-775-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 LOCUST ST",
            "city": "MIDDLETOWN",
            "state": "IN",
            "postal_code": "473561436",
            "telephone_number": "317-775-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETOWN-FALLCREEK TOWNSHIP EMERGENCY SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-22",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "REDNOUR",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "317-775-6753"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": "0050",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patty Pettit Kovacs, MS, RD, CD
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• Land Ambulance in Middletown, IN
• Providers in Middletown, IN by specialty
• Land Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.