Organization Active NPI

Galveston Volunteer Fire Dept Inc.

  • Land Ambulance
  • Galveston, IN
National Provider Identifier
1750430229
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0090 Issued in IN
Legal business name
GALVESTON VOLUNTEER FIRE DEPT INC.
Practice address
101 E Jackson St
Galveston, IN 46932-5018
Phone
(574) 699-1229
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Brent Ahrens
Title
Fire Chief
Phone
(574) 699-1229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0090 IN Primary

Addresses

Primary practice location

101 E Jackson St
Galveston, IN 46932-5018

Mailing address

101 E Jackson St
Galveston, IN 46932-5018
Phone (574) 699-1229

Other identifiers 1

IdentifierTypeStateIssuer
200882580AMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070503000116 IN Part B Supplier - Ambulance Service Supplier 7012013329 Practice locations: Galveston, IN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1750430229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E JACKSON ST",
            "city": "GALVESTON",
            "state": "IN",
            "postal_code": "469325018",
            "telephone_number": "574-699-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E JACKSON ST",
            "city": "GALVESTON",
            "state": "IN",
            "postal_code": "469325018",
            "telephone_number": "574-699-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALVESTON VOLUNTEER FIRE DEPT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "AHRENS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "574-699-1229"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200882580A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.