Organization Active NPI

Southeast Township (Orange County) Volunteer Fire Company in

Doing business as southeast vol. fire dept.

  • Non-emergency Medical Transport (VAN)
  • Paoli, IN
National Provider Identifier
1487983391
Registry record updated Dec 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SOUTHEAST TOWNSHIP (ORANGE COUNTY) VOLUNTEER FIRE COMPANY IN
Doing business as
southeast vol. fire dept.
Practice address
2723 East County Road 725South.
Paoli, IN 47454
Phone
(812) 723-4166
Fax
(812) 723-4166
NPI assigned
Dec 24, 2009
Last updated
Dec 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2009

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

Authorized official

Name
Mr. Mark Wayne Martin I
Title
Chief
Phone
(812) 365-2843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

2723 East County Road 725South.
Paoli, IN 47454

Mailing address

PO Box 376
Paoli, IN 47454-0376
Phone (812) 723-4166

Other names 1

  • southeast vol. fire dept. Doing business as

National Provider Directory

National Provider Directory

Locations

2723 E County Road 725 S
Paoli, IN 47454
Phone (812) 723-4166

NPI Registry JSON

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261612800000",
    "number": "1487983391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 376",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "474540376",
            "telephone_number": "812-723-4166",
            "fax_number": "812-723-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 EAST COUNTY ROAD 725SOUTH.",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "47454",
            "telephone_number": "812-723-4166",
            "fax_number": "812-723-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST TOWNSHIP (ORANGE COUNTY) VOLUNTEER FIRE COMPANY IN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-24",
        "last_updated": "2009-12-24",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "812-365-2843",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "southeast vol. fire dept.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paoli, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.