Jasper County EMS Board

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

JASPER COUNTY EMS BOARD

Practice address

2590 W Clark St
Rensselaer, IN 47978-8892

Phone

(219) 866-9452

NPI assigned

Jan 5, 2023

Last updated

Sep 18, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Corrie Myers

Title

Director

Phone

(317) 775-6753

Specialties & licenses 2

Addresses

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": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1669186599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50890",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462500890",
            "telephone_number": "317-849-6628",
            "fax_number": "317-849-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 W CLARK ST",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479788892",
            "telephone_number": "219-866-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER COUNTY EMS BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "CORRIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-775-6753",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harley Edmund Houghton, D.D.S.
• Infuse Dental of Rensselaer LLC
• Lisa Ann Jackson, MA CCC SLP
• Jasper County After Hours Urgent Care Inc
• Jasper County Community Services, Inc.
• Jasper County Government
• Jasper County Hospital
• Jasper County Hospital (Jasper County Hospital Anesthesia)
• Jasper County Hospital (Jasper County Hospital Home Health Care and Hospice)
• Jasper County Hospital (Jasper County Hospital Home Health Care)

• Land Ambulance in Rensselaer, IN
• Providers in Rensselaer, IN by specialty
• Land Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.