Organization Active NPI

Lafayette Township

Doing business as Lafayette Township Fire Department

  • Ambulance
  • Anderson, IN
National Provider Identifier
1588319131
Registry record updated Feb 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
LAFAYETTE TOWNSHIP
Doing business as
Lafayette Township Fire Department
Practice address
3235 N 100 W
Anderson, IN 46011-9520
Phone
(765) 425-7786
NPI assigned
Feb 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2022

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

Authorized official

Name
Josh Shepherd
Title
EMS Chief
Phone
(317) 775-6753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

3235 N 100 W
Anderson, IN 46011-9520

Mailing address

PO Box 56002
Indianapolis, IN 46256-0002
Phone (317) 849-6628

Other names 1

  • LAFAYETTE TOWNSHIP FIRE DEPARTMENT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220324001649 IN Part B Supplier - Ambulance Service Supplier 6608261839 Practice locations: Anderson, IN

National Provider Directory

National Provider Directory

Locations

3235 N 100 W
Anderson, IN 46011
Phone (765) 393-0249

NPI Registry JSON

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

{
    "created_epoch": "1644624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644624000000",
    "number": "1588319131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56002",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462560002",
            "telephone_number": "317-849-6628",
            "fax_number": "317-849-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 N 100 W",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460119520",
            "telephone_number": "765-425-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-12",
        "last_updated": "2022-02-12",
        "certification_date": "2022-02-12",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "317-775-6753"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAFAYETTE TOWNSHIP FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2022; 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.

Verify at the official NPI Registry.