City of Monticello

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1188 Issued in IN

Legal business name

CITY OF MONTICELLO

Practice address

911 W South St
Monticello, IN 47960-4620

Phone

(800) 538-3151

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Ryan D Blake

Title

Assistant Fire Chief

Phone

(574) 583-3151

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Monticello Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1467537829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W WASHINGTON STREET",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479602163",
            "telephone_number": "800-538-8278",
            "fax_number": "580-628-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 W SOUTH ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479604620",
            "telephone_number": "800-538-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MONTICELLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ASSISTANT FIRE CHIEF",
        "authorized_official_telephone_number": "574-583-3151"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "1188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "000000196155",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100281400A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590164422",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monticello Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vala VL Bujak, MA
• Elizabeth Jane Busch, SLP
• Natalie Butt
• Richard Leonard Carson, M.D.
• CDC Resources Inc
• Rachael D. Clements-Maiden, R.PH.
• Compassion and Healing LLC
• Allison Conley
• John C Corbin, O.D.
• Cindy Lou Cosgray, FNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.