Organization Active NPI

Spirit EMS LLC

  • Ambulance
  • Lafayette, IN
National Provider Identifier
1629344783
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
SPIRIT EMS LLC
Practice address
3605 McCarty LN Ste a
Lafayette, IN 47905-4987
Phone
(765) 607-2113
Fax
(765) 838-0066
NPI assigned
Mar 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Authorized official

Name
Jeremy Lawley
Title
Ceo
Phone
(765) 607-2113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

3605 McCarty LN Ste a
Lafayette, IN 47905-4987

Mailing address

PO Box 2128
West Lafayette, IN 47996-2128

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130812000759 IN Part B Supplier - Ambulance Service Supplier 8022250562 Practice locations: Lafayette, IN

National Provider Directory

National Provider Directory

Locations

3605 McCarty Ln
#A
Lafayette, IN 47905
Phone (574) 297-5496

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1629344783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2128",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479962128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 MCCARTY LN STE A",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054987",
            "telephone_number": "765-607-2113",
            "fax_number": "765-838-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "LAWLEY",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-607-2113"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.