NPIMap

Organization Active NPI

Northeast Allen County Fire & EMS, Inc.

  • Land Ambulance
  • Grabill, IN
National Provider Identifier
1528097409
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0897 Issued in IN
Legal business name
NORTHEAST ALLEN COUNTY FIRE & EMS, INC.
Practice address
13415 State Street
Grabill, IN 46741-0428
Phone
(260) 627-5133
Fax
(260) 627-8953
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Authorized official

Name
Mr. Scott Yoder
Title
EMS Chief
Phone
(260) 627-5133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0897 IN Primary

Addresses

Primary practice location

13415 State Street
Grabill, IN 46741-0428

Mailing address

PO Box 428
Grabill, IN 46741-0428
Phone (260) 627-5133

Other identifiers 1

IdentifierTypeStateIssuer
100281150MedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1528097409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "GRABILL",
            "state": "IN",
            "postal_code": "467410428",
            "telephone_number": "260-627-5133",
            "fax_number": "260-627-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13415 STATE STREET",
            "city": "GRABILL",
            "state": "IN",
            "postal_code": "467410428",
            "telephone_number": "260-627-5133",
            "fax_number": "260-627-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ALLEN COUNTY FIRE & EMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "YODER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "260-627-5133",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100281150",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grabill, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.