Active NPI
Huntertown Volunteer Fire Department
- Land Ambulance
- Fort Wayne, IN
National Provider Identifier
1396753075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0256
- Legal business name
- HUNTERTOWN VOLUNTEER FIRE DEPARTMENT
- Practice address
- 3134 Mallard Cove LN
Fort Wayne, IN 46804-2882 - Phone
- (260) 436-9495
- Fax
- (260) 436-7235
- NPI assigned
- Aug 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Reid
- Title
- Fire Chief
- Phone
- (260) 449-3696
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0256 | IN | Primary |
Addresses
Primary practice location
3134 Mallard Cove LN
Fort Wayne, IN 46804-2882
Mailing address
15412 Lima Rd
Huntertown, IN 46748-9353
Phone (260) 449-3696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000236327 | Other | IN | ANTHEM |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396753075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15412 LIMA RD",
"city": "HUNTERTOWN",
"state": "IN",
"postal_code": "467489353",
"telephone_number": "260-449-3696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3134 MALLARD COVE LN",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468042882",
"telephone_number": "260-436-9495",
"fax_number": "260-436-7235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUNTERTOWN VOLUNTEER FIRE DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "REID",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "260-449-3696"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IN",
"license": "0256",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000236327",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.