Organization Active NPI

Gray Funeral Home Inc

Doing business as Culberson Funeral Home Inc

  • Ambulance
  • Hagerstown, IN
National Provider Identifier
1629097704
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
890045 Issued in IN
Legal business name
GRAY FUNERAL HOME INC
Doing business as
Culberson Funeral Home Inc
Practice address
51 South Washington Street
Hagerstown, IN 47346-1547
Phone
(765) 489-5511
Fax
(765) 489-5936
NPI assigned
Jul 19, 2006
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Mr. Richard L Culberson
Title
Vice President Funeral Director Emt
Phone
(765) 489-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 890045 IN Primary

Addresses

Primary practice location

51 South Washington Street
Hagerstown, IN 47346-1547

Mailing address

51 South Washington Street
Hagerstown, IN 47346-1547
Phone (765) 489-5511

Other identifiers 1

IdentifierTypeStateIssuer
100282140AMedicaidIN

Other names 1

  • Culberson Funeral Home Inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1629097704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SOUTH WASHINGTON STREET",
            "city": "HAGERSTOWN",
            "state": "IN",
            "postal_code": "473461547",
            "telephone_number": "765-489-5511",
            "fax_number": "765-489-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SOUTH WASHINGTON STREET",
            "city": "HAGERSTOWN",
            "state": "IN",
            "postal_code": "473461547",
            "telephone_number": "765-489-5511",
            "fax_number": "765-489-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY FUNERAL HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "CULBERSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT FUNERAL DIRECTOR EMT",
        "authorized_official_telephone_number": "765-489-5511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": "890045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100282140A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Culberson Funeral Home Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hagerstown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.