Organization Active NPI

Steuben County Auditor

  • Land Ambulance
  • Angola, IN
National Provider Identifier
1356348601
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0287 Issued in IN
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

Updated by the provider on Oct 2, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0499867MedicaidOH
000000184580OtherINPIN FOR BCBS
590164357OtherINRAILROAD MEDICARE
100281370AMedicaidIN

Other names 1

  • Steuben County EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040826000482 IN Part B Supplier - Ambulance Service Supplier 9638144454 Practice locations: Angola, IN; Fremont, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0703842Steuben Co EMS205 S Martha St Ste 100, Angola, IN 46703Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Steuben County EMS2 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

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.

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.

Verify at the official NPI Registry.