Active NPI
Steuben County Auditor
- Land Ambulance
- Angola, IN
National Provider Identifier
1356348601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0287
- Legal business name
- STEUBEN COUNTY AUDITOR
- Doing business as
- Steuben County EMS
- Practice address
- 205 S Martha St Ste 100
Angola, IN 46703-1900 - Phone
- (260) 668-1000
- Fax
- (260) 665-8368
- NPI assigned
- Jul 1, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jayson W McConnell
- Title
- Interim Director
- Phone
- (260) 668-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0287 | IN | Primary |
Addresses
Primary practice location
205 S Martha St Ste 100
Angola, IN 46703-1900
Mailing address
PO Box 2122
Riverview, MI 48193-1122
Phone (800) 926-6985
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0499867 | Medicaid | OH | |
| 000000184580 | Other | IN | PIN FOR BCBS |
| 590164357 | Other | IN | RAILROAD MEDICARE |
| 100281370A | Medicaid | IN |
Other names 1
- Steuben County EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040826000482 | IN | Part B Supplier - Ambulance Service Supplier | 9638144454 | Practice locations: Angola, IN; Fremont, IN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0703842 | Steuben Co EMS | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Steuben County EMS
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Angola, IN
- NPI 1992342562
Locations
205 S Martha St
Ste 100
Angola, IN 46703
Phone (260) 668-1000
205 S Martha St
Angola, IN 46703
Phone (219) 665-2766
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.
-
- Public Health or Welfare Agency
- Angola, IN
- NPI 1992342562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696204800000",
"number": "1356348601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2122",
"city": "RIVERVIEW",
"state": "MI",
"postal_code": "481931122",
"telephone_number": "800-926-6985",
"fax_number": "734-479-6319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 S MARTHA ST STE 100",
"city": "ANGOLA",
"state": "IN",
"postal_code": "467031900",
"telephone_number": "260-668-1000",
"fax_number": "260-665-8368"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEUBEN COUNTY AUDITOR",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-01",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A",
"authorized_official_last_name": "MCCONNELL",
"authorized_official_first_name": "JAYSON",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "INTERIM DIRECTOR",
"authorized_official_telephone_number": "260-668-1000"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IN",
"license": "0287",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0499867",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN FOR BCBS",
"identifier": "000000184580",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590164357",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100281370A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Steuben County EMS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Steuben County EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Angola, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.