Washington Civil Township

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0337 Issued in IN

Legal business name

WASHINGTON CIVIL TOWNSHIP

Practice address

1834 W Wallen Rd
Fort Wayne, IN 46818

Phone

(260) 449-3671

Fax

(260) 449-3672

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Robert Arnold

Title

Trustee

Phone

(260) 449-3354

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Washington Township Volunteer Fire Department Other name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1639188154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 W WALLEN RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468181029",
            "telephone_number": "260-449-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 W WALLEN RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46818",
            "telephone_number": "260-449-3671",
            "fax_number": "260-449-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON CIVIL TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "TRUSTEE",
        "authorized_official_telephone_number": "260-449-3354"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000228046",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100287810A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Township Volunteer Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lormekia Al'Mata Warren, NP
• Victoria L Warren, NP-C
• Meghan Warrix, NP-C
• Ruth Elaine Wartell, R. N., N.P.
• Jaclyn Wasel
• Alexis Washington, RBT
• Angenique Washington, RBT
• Courtney Lesley Washington
• Gary Michael Washington, DC
• Melanie Washington, PHARMD

• Land Ambulance in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Land Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.