Active NPI
City of Gary Indiana
Doing business as Gary Fire Department
- Ambulance
- Gary, IN
National Provider Identifier
1700808730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 450144
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100281530 | Medicaid | IN |
Other names 1
- Gary Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080903000243 | IN | Part B Supplier - Ambulance Service Supplier | 7113093972 | Practice locations: Gary, IN |
National Provider Directory
National Provider Directory- Tax ID family
- Gary Health Department
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulance
- Gary, IN
- NPI 1821450958
-
dba Maternal Child Health Clinic
- Case Manager/Care Coordinator
- Gary, IN
- NPI 1659415214
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
- Children With Greater Destinys (Greater Destiny Home Care)
- Chube Medical Corporation
- David Damaret Chube, M.D.
- Chube2 Primary Care LLC (Chube2 Primary Care)
- City of Gary Fire Department, EMS
- Clark Nursing and Rehabilitation Center, LLC (Clark Nursing and Rehabilitation Center)
- Cornelius Clark Jr.
- Marsha Clark, RN
- Claudette Dandridge M.D.
- Susan Clay
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.