Active NPI
Gray Funeral Home Inc
Doing business as Culberson Funeral Home Inc
- Ambulance
- Hagerstown, IN
National Provider Identifier
1629097704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 890045
- 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, 2008
- 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
- Mr. Richard L Culberson
- Title
- Vice President Funeral Director Emt
- Phone
- (765) 489-5511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100282140A | Medicaid | IN |
Other names 1
- Culberson Funeral Home Inc
National Provider Directory
National Provider DirectoryNPI 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
- Martha B. Bowman, LMHC, LCAC
- Ashley R Cornils Golliher, DDS
- William P Cornils, DDS PC
- Culberson Ambulance Service, Inc.
- James B Gerni, DC, LAC
- Guardian Home Care, Inc
- Hagerstown Family Dentistry
- Hagerstown Spine and Rehab
- James L Harper, OD
- HCMH Diversified Management Corporation (Nettle Creek Neighborhood Pharmacy)
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.