Washington County

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

WASHINGTON COUNTY

Practice address

601 Anson St
Salem, IN 47167-2237

Phone

(812) 883-2921

Fax

(812) 883-5202

NPI assigned

Jan 9, 2014

Organization subpart

No

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

Authorized official

Name

Troy D Nicholson, EMT-P

Title

EMS Director

Phone

(812) 883-2921

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Washington County Ambulance Service Other name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lindsey N Brough, FNP-C

  • Family Nurse Practitioner
  • Salem, IN
  • NPI 1053780973
  NPD (past)

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1396167482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ANSON ST",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471672237",
            "telephone_number": "812-883-2921",
            "fax_number": "812-883-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ANSON ST",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471672237",
            "telephone_number": "812-883-2921",
            "fax_number": "812-883-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "812-883-2921",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201219460",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington County Ambulance Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Olivia S. Walker, O.D.
• Washington County
• Washington County Emergency Medical Services, Inc.
• Washington County Memorial Hospital
• Washington County Memorial Hospital
• Karen S Weesner, LCSW
• Tricia K Wheeler, DMD

• Land Ambulance in Salem, IN
• Providers in Salem, IN by specialty
• Land Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.