NPIMap

Organization Active NPI

City of Rushville

  • Land Ambulance
  • Rushville, IN
National Provider Identifier
1306277454
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF RUSHVILLE
Practice address
120 N Perkins St
Rushville, IN 46173-1932
Phone
(765) 932-3065
NPI assigned
Nov 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Charles Jenkins
Title
Fire Chief
Phone
(765) 932-3065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

120 N Perkins St
Rushville, IN 46173-1932

Mailing address

120 N Perkins St
Rushville, IN 46173-1932
Phone (765) 932-3065

Other identifiers 1

IdentifierTypeStateIssuer
1306277454MedicaidIN

Other names 1

  • Rushville Fire Department Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140304001968 IN Part B Supplier - Ambulance Service Supplier 4789814179 Practice locations: Rushville, IN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1306277454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N PERKINS ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731932",
            "telephone_number": "765-932-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N PERKINS ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731932",
            "telephone_number": "765-932-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF RUSHVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "765-932-3065"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306277454",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rushville Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rushville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.