Fountaintown Community Volunteer Fire Department Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

FOUNTAINTOWN COMMUNITY VOLUNTEER FIRE DEPARTMENT INC.

Practice address

141 E Brookville Rd
Fountaintown, IN 46130-9701

Phone

(317) 861-4540

NPI assigned

May 28, 2006

Last updated

Jun 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Georgina Tyner

Title

Treasurer, Board of Directors

Phone

(317) 775-6753

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1366499071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50890",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462500890",
            "telephone_number": "317-849-6628",
            "fax_number": "317-849-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 E BROOKVILLE RD",
            "city": "FOUNTAINTOWN",
            "state": "IN",
            "postal_code": "461309701",
            "telephone_number": "317-861-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAINTOWN COMMUNITY VOLUNTEER FIRE DEPARTMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "TYNER",
        "authorized_official_first_name": "GEORGINA",
        "authorized_official_title_or_position": "TREASURER, BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "317-775-6753"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100290610",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Fountaintown, IN
• Providers in Fountaintown, IN by specialty
• Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.