Active NPI
Spirit EMS LLC
- Ambulance
- Lafayette, IN
National Provider Identifier
1629344783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130812000759 | IN | Part B Supplier - Ambulance Service Supplier | 8022250562 | Practice locations: Lafayette, IN |
National Provider Directory
National Provider DirectoryLocations
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.