Starke County

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0054 Issued in IN

Legal business name

STARKE COUNTY

Doing business as

Starke County Ambulance Service

Practice address

53 E Mound St
Knox, IN 46534-1104

Phone

(574) 772-9140

Fax

(574) 772-9121

NPI assigned

Jan 26, 2006

Organization subpart

No

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

Authorized official

Name

James Garner

Title

Director

Phone

(574) 772-9140

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Starke County Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1780654160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 E MOUND ST",
            "address_2": "P.O. BOX 353",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465341104",
            "telephone_number": "574-772-9140",
            "fax_number": "574-772-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 E MOUND ST",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465341104",
            "telephone_number": "574-772-9140",
            "fax_number": "574-772-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARKE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "574-772-9140"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100287970A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000205902",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Starke County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rush-Select Holdings, LLC
• Dominique Schwenk, ED.S.
• Connie Shady, RPH
• Emily Shin
• Thomas S Spencer, MD
• Starke County Family Dentistry
• Starke Physician Practices LLC
• Starke Physician Practices LLC
• Starke Physician Practices LLC
• Mangalore Jairam Subbarao, M.D.

• Land Ambulance in Knox, IN
• Providers in Knox, IN by specialty
• Land Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.