Cleveland Township Volunteer Fire Department Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1004 Issued in IN

Legal business name

CLEVELAND TOWNSHIP VOLUNTEER FIRE DEPARTMENT INC

Doing business as

Cleveland Township Fire Department

Practice address

29515 County Road 6
Elkhart, IN 46514-9513

Phone

(574) 264-5443

Fax

(574) 206-9483

NPI assigned

Jul 15, 2006

Last updated

Feb 10, 2023By 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

James S Prentkowski

Title

Assistant Chief/Treasurer

Phone

(574) 264-5443

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Cleveland Township Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Cleveland Township

  • Land Ambulance
  • Elkhart, IN
  • NPI 1255038154

  O20230207000564

  Same enrollment

Locations

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1699791020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29515 COUNTY ROAD 6",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465149513",
            "telephone_number": "574-264-5443",
            "fax_number": "574-206-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29515 COUNTY ROAD 6",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465149513",
            "telephone_number": "574-264-5443",
            "fax_number": "574-206-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND TOWNSHIP VOLUNTEER FIRE DEPARTMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "PRENTKOWSKI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ASSISTANT CHIEF/TREASURER",
        "authorized_official_telephone_number": "574-264-5443"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "1004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590014219",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000179156",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200248450A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Township Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Seth Michael Claxton, CRNA
• David Clayton
• Cleveland C Cleary
• Rachel L Clemens, LMHC
• Cleveland Township
• Karen M. Cleveland, RD, CD
• James W Clifton, LCSW, LMHC,LMFT, LCA
• Alexys Cline
• Clinical Colleagues of Indiana PC
• Elizabeth Cloud, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.