Organization Active NPI

City of Gary Indiana

Doing business as Gary Fire Department

  • Ambulance
  • Gary, IN
National Provider Identifier
1700808730
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
450144 Issued in IN
Legal business name
CITY OF GARY INDIANA
Doing business as
Gary Fire Department
Practice address
200 E 5TH Ave
Gary, IN 46402-1309
Phone
(219) 881-5285
NPI assigned
Jul 25, 2006
Last updated
Aug 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
James Morris
Title
EMS Director
Phone
(219) 881-5252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 450144 IN Primary

Addresses

Primary practice location

200 E 5TH Ave
Gary, IN 46402-1309

Mailing address

PO Box 392907
Pittsburgh, PA 15251-5816
Phone (800) 962-1484

Other identifiers 1

IdentifierTypeStateIssuer
100281530MedicaidIN

Other names 1

  • Gary Fire Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080903000243 IN Part B Supplier - Ambulance Service Supplier 7113093972 Practice locations: Gary, IN

National Provider Directory

National Provider Directory
Tax ID family
Gary Health Department4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1640 Adams St
Gary, IN 46407
Phone (219) 886-7102

200 E 5th Ave
Gary, IN 46402
Phone (219) 881-5215

2800 W 5th Ave
Gary, IN 46404
Phone (219) 881-1408

330 W 25th Ave
Gary, IN 46407
Phone (219) 881-1404

380 S Grand Blvd
Gary, IN 46403
Phone (219) 938-8840

6012 W 26th Ave
Gary, IN 46406
Phone (219) 844-5392

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1700808730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152515816",
            "telephone_number": "800-962-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 5TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464021309",
            "telephone_number": "219-881-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GARY INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "219-881-5252"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": "450144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100281530",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gary Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gary Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gary, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.