Organization Active NPI

Carroll County Emergency Medical Service

  • Land Ambulance
  • Flora, IN
National Provider Identifier
1346305380
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CARROLL COUNTY EMERGENCY MEDICAL SERVICE
Practice address
908 W Columbia St
Flora, IN 46929-9219
Phone
(574) 967-4161
Fax
(574) 967-4197
NPI assigned
Dec 27, 2006
Last updated
Aug 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Ms. Linda Gretter
Title
Administrative Assistant
Phone
(574) 967-4161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X IN Primary

Addresses

Primary practice location

908 W Columbia St
Flora, IN 46929-9219

Mailing address

PO Box 13
Flora, IN 46929-0013
Phone (574) 967-4161

Other identifiers 1

IdentifierTypeStateIssuer
000000192060OtherINANTHEM BCBS

National Provider Directory

National Provider Directory
Tax ID family
Carroll County Emergency Medical Service3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

908 W Columbia St
Flora, IN 46929
Phone (574) 967-4161

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1346305380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13",
            "city": "FLORA",
            "state": "IN",
            "postal_code": "469290013",
            "telephone_number": "574-967-4161",
            "fax_number": "574-967-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 W COLUMBIA ST",
            "city": "FLORA",
            "state": "IN",
            "postal_code": "469299219",
            "telephone_number": "574-967-4161",
            "fax_number": "574-967-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL COUNTY EMERGENCY MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "GRETTER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "574-967-4161",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000192060",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flora, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.