Organization Active NPI

Town of Sheridan

  • Land Ambulance
  • Sheridan, IN
National Provider Identifier
1336405158
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWN OF SHERIDAN
Practice address
506 S Main St
Sheridan, IN 46069-1337
Phone
(317) 758-4561
NPI assigned
Apr 5, 2012
Last updated
Jan 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Authorized official

Name
Travis William Stern
Title
Fire Chief
Phone
(317) 758-4561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

506 S Main St
Sheridan, IN 46069-1337

Mailing address

506 S Main St
Sheridan, IN 46069-1337

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120416000185 IN Part B Supplier - Ambulance Service Supplier 5698936862 Practice locations: Sheridan, IN

National Provider Directory

National Provider Directory
Tax ID family
Town of Sheridan2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

506 S Main St
Sheridan, IN 46069
Phone (317) 758-4561

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1336405158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 S MAIN ST",
            "city": "SHERIDAN",
            "state": "IN",
            "postal_code": "460691337",
            "fax_number": "336-791-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 S MAIN ST",
            "city": "SHERIDAN",
            "state": "IN",
            "postal_code": "460691337",
            "telephone_number": "317-758-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF SHERIDAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "317-758-4561"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.