City of Goshen

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0204 Issued in IN

Legal business name

CITY OF GOSHEN

Practice address

209 N 3Rd St
Goshen, IN 46526-3201

Phone

(574) 533-7878

Fax

(574) 534-2804

NPI assigned

Jun 8, 2006

Organization subpart

No

Name

Kimberly A Whitehead

Title

Office Assistant

Phone

(574) 533-7878

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

• Goshen Fire Department - EMS Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 10, 2007.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1679513485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2122",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481931122",
            "telephone_number": "734-479-6300",
            "fax_number": "734-479-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N 3RD ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465263201",
            "telephone_number": "574-533-7878",
            "fax_number": "574-534-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GOSHEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE ASSISTANT",
        "authorized_official_telephone_number": "574-533-7878"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": "0204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goshen Fire Department - EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Casilda Cabral Chenier, PA
• Winfield Alfred Chester, MSW, LSW
• Chiropractic Wellness Center of Goshen, PC
• Janelle E Christensen, MSW
• Linda Christophel
• Jill D Claassen
• Isidro Clara Jr.
• Linda Jean Clark, O.D.
• Barbara Jean Clem, MSN- FNP
• Johnathon Thomas Clifton

• All providers in Goshen, IN
• Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.