Frankton Volunteer Ambulance Service – Land Ambulance

Key facts

NPI: 1316119035
Entity type: Organization (NPI type 2)
Primary specialty: Land Ambulance 3416L0300X
License: 0124 (IN)
Legal business name: FRANKTON VOLUNTEER AMBULANCE SERVICE
Practice address: 110 Lafayette St.
Frankton, IN 46044-9340
Phone: (765) 754-7575
Fax: (765) 754-8966
NPI assigned: Apr 2, 2008
Organization subpart: No

Authorized official

Name: Randy Cawthorn
Title: Board President
Phone: (765) 754-7575

Medicare participation

Medicare fee-for-service enrollment: Enrolled in IN

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20100127000285	IN	Part B Supplier - Ambulance Service Supplier	3577605781	Practice locations: Frankton, IN

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Land Ambulance	3416L0300X	0124	IN	Yes

Addresses

Primary practice location

110 Lafayette St.
Frankton, IN 46044-9340

Mailing address

PO Box 7
Frankton, IN 46044-0007
Phone (765) 754-7575

Other identifiers

Identifier	Type	State	Issuer
000000611698	Other	IN	ANTHEM
100281740A	Medicaid	IN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 22, 2013.

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1316119035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "FRANKTON",
            "state": "IN",
            "postal_code": "460440007",
            "telephone_number": "765-754-7575",
            "fax_number": "765-754-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LAFAYETTE ST.",
            "city": "FRANKTON",
            "state": "IN",
            "postal_code": "460449340",
            "telephone_number": "765-754-7575",
            "fax_number": "765-754-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKTON VOLUNTEER AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "CAWTHORN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "765-754-7575"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000611698",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100281740A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankton, IN

All providers in Frankton, 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 22, 2013. 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.

Verify at the official NPI Registry.