Corporate Town of Ellettsville Fire Dept.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

1034 Issued in IN

Legal business name

CORPORATE TOWN OF ELLETTSVILLE FIRE DEPT.

Practice address

5080 W State Road 46
Bloomington, IN 47404-9695

Phone

(812) 876-4819

Fax

(812) 876-0178

NPI assigned

Dec 23, 2009

Organization subpart

No

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

Authorized official

Name

Michael D Cornman

Title

Deputy Fire Chief

Phone

(812) 876-4819

Specialties & licenses 1

Addresses

Other names 1

• Ellettsville Fire Department Doing business as

Locations

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1447589312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 W STATE ROAD 46",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474049695",
            "telephone_number": "812-876-4819",
            "fax_number": "812-876-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 W STATE ROAD 46",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474049695",
            "telephone_number": "812-876-4819",
            "fax_number": "812-876-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORATE TOWN OF ELLETTSVILLE FIRE DEPT.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "CORNMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DEPUTY FIRE CHIEF",
        "authorized_official_telephone_number": "812-876-4819"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IN",
            "license": "1034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellettsville Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey Corley
• Cornerstone Caregiving East LLC
• Kenneth Cornetta, MD
• Raphael Cornford
• Wendy K. Corning, M.D.
• Zoila Cortez-Mancia, RBT
• Emily Marie Corturillo, MS, LMFT
• Neva K Cottam, MPH
• Courtney Moore Mental Health Services LLC
• Grace Courtney

• Non-emergency Medical Transport (VAN) in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Non-emergency Medical Transport (VAN) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.