St Joseph County - Harris Civil Township

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0433 Issued in IN

Legal business name

ST JOSEPH COUNTY - HARRIS CIVIL TOWNSHIP

Doing business as

Harris Civil Township Fire Department

Practice address

13981 State Road 23
Granger, IN 46530-7596

Phone

(574) 272-7861

Fax

(574) 272-1108

NPI assigned

Jul 29, 2006

Organization subpart

No

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

Authorized official

Name

John Vance

Title

Fire Chief

Phone

(574) 272-7861

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Harris Civil Township Fire Department Doing business as

Locations

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1780698043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600900457",
            "telephone_number": "847-577-8811",
            "fax_number": "847-577-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13981 STATE ROAD 23",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465307596",
            "telephone_number": "574-272-7861",
            "fax_number": "574-272-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH COUNTY - HARRIS CIVIL TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "574-272-7861"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000361043",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200103940A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harris Civil Township Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.