Multi-County EMS LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MULTI-COUNTY EMS LLC

Practice address

5034 Redwood Road
Plymouth, IN 46563

Phone

(574) 229-5812

Fax

(574) 935-3441

NPI assigned

Aug 23, 2016

Last updated

Nov 28, 2016By 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

Mr. Adriel Samuel Stoltzfus, NRAEMT

Title

Ceo

Phone

(574) 767-0510

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1295280923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5034 REDWOOD ROAD",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "46563",
            "telephone_number": "574-229-5812",
            "fax_number": "574-935-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5034 REDWOOD ROAD",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "46563",
            "telephone_number": "574-229-5812",
            "fax_number": "574-935-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTI-COUNTY EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "STOLTZFUS",
        "authorized_official_first_name": "ADRIEL",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-767-0510",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NRAEMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.