Organization Active NPI

Northeast Allen Fire Protection District

  • Land Ambulance
  • Grabill, IN
National Provider Identifier
1396433579
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
NORTHEAST ALLEN FIRE PROTECTION DISTRICT
Practice address
13415 State St
Grabill, IN 46741-2006
Phone
(260) 627-5133
NPI assigned
Apr 26, 2023
Last updated
Apr 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Benjamin Masten
Title
Assistant Chief of EMS
Phone
(260) 627-5133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

13415 State St
Grabill, IN 46741-2006

Mailing address

PO Box 428
Grabill, IN 46741-0428
Phone (260) 627-5133

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240111003101 IN Part B Supplier - Ambulance Service Supplier 9032560263 Practice locations: Leo, IN; Harlan, IN; Grabill, IN

National Provider Directory

National Provider Directory

Locations

15226 Tonkel Rd
Leo, IN 46765
Phone (260) 627-2272

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1396433579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "GRABILL",
            "state": "IN",
            "postal_code": "467410428",
            "telephone_number": "260-627-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13415 STATE ST",
            "city": "GRABILL",
            "state": "IN",
            "postal_code": "467412006",
            "telephone_number": "260-627-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ALLEN FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "MASTEN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "ASSISTANT CHIEF OF EMS",
        "authorized_official_telephone_number": "260-627-5133"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grabill, IN

Sources for this page

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