Baugo Civil Township

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0393 Issued in IN

Legal business name

BAUGO CIVIL TOWNSHIP

Practice address

57955 County Road 3
Suite B
Elkhart, IN 46517-9027

Phone

(574) 293-5873

Fax

(574) 522-8301

NPI assigned

Sep 29, 2011

Last updated

Sep 29, 2011By 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

Katherine A. Weaver

Title

Trustee

Phone

(574) 293-5873

Specialties & licenses 1

Addresses

Other names 1

• Baugo Township Volunteer Fire Dept. Other name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Tax ID family

Baugo Township Volunteer Fire Department2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Baugo Township Volunteer Fire Department

  • Land Ambulance
  • Elkhart, IN
  • NPI 1629212626
  NPD tax ID

Locations

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1407130214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57955 COUNTY ROAD 3",
            "address_2": "SUITE B",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465179027",
            "telephone_number": "574-293-5873",
            "fax_number": "574-522-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57955 COUNTY ROAD 3",
            "address_2": "SUITE B",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465179027",
            "telephone_number": "574-293-5873",
            "fax_number": "574-522-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAUGO CIVIL TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "TRUSTEE",
        "authorized_official_telephone_number": "574-293-5873"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baugo Township Volunteer Fire Dept.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yasmine Baryeh, MSW
• Melissa Karin Bash, PHARMD, RPH
• Sherrie L Baskins, CADAC II
• Nikita J Bates, B.A.
• Eugenia Kay Bauer, BA
• Baugo Community Schools
• Baugo Township Volunteer Fire Department
• Baugo Township Volunteer Fire Department Inc
• Janae Baumeister
• Deborah Beacham

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.