New Haven EMS - Emergency 45

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0216 Issued in IN

Legal business name

NEW HAVEN EMS - EMERGENCY 45

Practice address

910 Hartzell Rd
New Haven, IN 46774-1833

Phone

(260) 749-1235

Fax

(260) 493-7700

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

Edward A Lytal

Title

Chief

Phone

(260) 749-1235

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• New Haven/Adams Twp EMS Doing business as

Locations

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1376587261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 HARTZELL RD",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467741833",
            "telephone_number": "260-749-1235",
            "fax_number": "260-493-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 HARTZELL RD",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467741833",
            "telephone_number": "260-749-1235",
            "fax_number": "260-493-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAVEN EMS - EMERGENCY 45",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "LYTAL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "260-749-1235"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": "0216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCS",
            "identifier": "100593",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100288310A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Haven/Adams Twp EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mary Payne

• Ambulance in New Haven, IN
• Providers in New Haven, IN by specialty
• Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.