NPIMap

Organization Active NPI

Pike County Auditor

Doing business as Pike County Emergency Medical Service

  • Land Ambulance
  • Petersburg, IN
National Provider Identifier
1700929437
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0015 Issued in IN
Legal business name
PIKE COUNTY AUDITOR
Doing business as
Pike County Emergency Medical Service
Practice address
798 E Illinois St
Petersburg, IN 47567-9079
Phone
(812) 354-8796
NPI assigned
Feb 14, 2007
Last updated
May 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Authorized official

Name
Mr. Christopher T Young
Title
Director
Phone
(812) 354-8796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0015 IN Primary

Addresses

Primary practice location

798 E Illinois St
Petersburg, IN 47567-9079

Mailing address

PO Box 485
Petersburg, IN 47567-0485
Phone (812) 354-8796

Other names 1

  • Pike County Emergency Medical Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060925000497 IN Part B Supplier - Ambulance Service Supplier 7113922154 1 other NPI on this enrollment
Practice locations: Otwell, IN; Petersburg, IN; Winslow, IN

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Pike County Emergency M2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

100 S 4th St
Petersburg, IN 47567
Phone (812) 354-6024

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1700929437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "PETERSBURG",
            "state": "IN",
            "postal_code": "475670485",
            "telephone_number": "812-354-8796",
            "fax_number": "812-354-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 E ILLINOIS ST",
            "city": "PETERSBURG",
            "state": "IN",
            "postal_code": "475679079",
            "telephone_number": "812-354-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE COUNTY AUDITOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "812-354-8796",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pike County Emergency Medical Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pike County Emergency Medical Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petersburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.