NPIMap

Organization Active NPI

Clarksburg Community Volunteer Fire Department, Inc.

  • Land Ambulance
  • Clarksburg, IN
National Provider Identifier
1770710956
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0568 Issued in IN
Legal business name
CLARKSBURG COMMUNITY VOLUNTEER FIRE DEPARTMENT, INC.
Practice address
6654 N County Road 700 E
Clarksburg, IN 47240-0308
Phone
(812) 527-2115
Fax
(812) 527-2039
NPI assigned
Jun 16, 2009
Last updated
Dec 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Authorized official

Name
Brad Speer
Title
Chief
Phone
(812) 527-2761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0568 IN Primary

Addresses

Primary practice location

6654 N County Road 700 E
Clarksburg, IN 47240-0308

Mailing address

PO Box 308
6654 N County Road 700 E
Clarksburg, IN 47225-0308
Phone (812) 527-2115

Other names 1

  • Clarksburg Volunteer Fire Department Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1770710956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "address_2": "6654 N COUNTY ROAD 700 E",
            "city": "CLARKSBURG",
            "state": "IN",
            "postal_code": "472250308",
            "telephone_number": "812-527-2115",
            "fax_number": "812-527-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6654 N COUNTY ROAD 700 E",
            "city": "CLARKSBURG",
            "state": "IN",
            "postal_code": "472400308",
            "telephone_number": "812-527-2115",
            "fax_number": "812-527-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSBURG COMMUNITY VOLUNTEER FIRE DEPARTMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "SPEER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "812-527-2761"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarksburg Volunteer Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.