St. Joseph Co. Airport Authority

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

0444 Issued in IN

Legal business name

ST. JOSEPH CO. AIRPORT AUTHORITY

Practice address

4821 Lincoln Way W
South Bend, IN 46628-5525

Phone

(574) 282-4593

Fax

(574) 282-4592

NPI assigned

Jan 11, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Michael James Ornat

Title

Chief

Phone

(574) 282-4593

Specialties & licenses 1

Addresses

Other names 1

• Department of Public Safety Other name

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1740510924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 LINCOLN WAY W",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466285525",
            "telephone_number": "574-282-4593",
            "fax_number": "574-282-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 LINCOLN WAY W",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466285525",
            "telephone_number": "574-282-4593",
            "fax_number": "574-282-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH CO. AIRPORT AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "ORNAT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "574-282-4593",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IN",
            "license": "0444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Department of Public Safety",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alisha Plunkett Springle, PHD, CCC-SLP, BCS-CL
• Michele Safko Squires, M.D.
• Daniel P. Srikureja, MD
• St Joseph's Regional Medical Center (Maternal Fetal Medicine)
• Ritchie St-Jean, RBT
• St. Joseph County Auditor (St. Joseph County Health Department)
• Susan M St. Ville, PH.D., MSW, LCSW
• Christine F Stacey, LCSW
• Diane M Stacker, O.T.
• Samantha Morgan Stacy

• Non-emergency Medical Transport (VAN) in South Bend, IN
• Providers in South Bend, IN by specialty
• Non-emergency Medical Transport (VAN) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.