Active NPI
City of Lawrenceburg
- Ambulance
- Lawrenceburg, IN
National Provider Identifier
1467569582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- CITY OF LAWRENCEBURG
- Practice address
- 300 West Tate Street
Lawrenceburg, IN 47025 - Phone
- (812) 537-4144
- Fax
- (812) 537-2065
- NPI assigned
- Aug 24, 2006
- Last updated
- Dec 11, 2017
- 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
- Bobby Mills
- Title
- EMS Director
- Phone
- (812) 537-4144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | Primary |
Addresses
Primary practice location
300 West Tate Street
Lawrenceburg, IN 47025
Mailing address
300 W Tate St
Lawrenceburg, IN 47025-1974
Phone (812) 537-4144
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55001242 | Medicaid | KY | |
| 200331320A | Medicaid | IN | |
| 2266659 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050314000632 | IN | Part B Supplier - Ambulance Service Supplier | 1456306349 | Practice locations: Lawrenceburg, IN |
National Provider Directory
National Provider Directory- Tax ID family
- City of Lawrenceburg
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512950400000",
"number": "1467569582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W TATE ST",
"city": "LAWRENCEBURG",
"state": "IN",
"postal_code": "470251974",
"telephone_number": "812-537-4144",
"fax_number": "812-537-2065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 WEST TATE STREET",
"city": "LAWRENCEBURG",
"state": "IN",
"postal_code": "47025",
"telephone_number": "812-537-4144",
"fax_number": "812-537-2065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF LAWRENCEBURG",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-24",
"last_updated": "2017-12-11",
"status": "A",
"authorized_official_last_name": "MILLS",
"authorized_official_first_name": "BOBBY",
"authorized_official_title_or_position": "EMS DIRECTOR",
"authorized_official_telephone_number": "812-537-4144"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55001242",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200331320A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2266659",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.