Organization Active NPI

Town of Merrillville EMS

  • Ambulance
  • Merrillville, IN
National Provider Identifier
1780717462
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0333 Issued in IN
Legal business name
TOWN OF MERRILLVILLE EMS
Practice address
26 W 73Rd Ave
Merrillville, IN 46410-3802
Phone
(219) 769-0400
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Rose Ann Antich
Title
Town of Merrillville Clerk-Treasure
Phone
(219) 769-3699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0333 IN Primary

Addresses

Primary practice location

26 W 73Rd Ave
Merrillville, IN 46410-3802

Mailing address

7820 Broadway
Merrillville, IN 46410-5557
Phone (219) 769-3699

Other identifiers 1

IdentifierTypeStateIssuer
000000191002OtherINBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

7820 Broadway
Merrillville, IN 46410
Phone (219) 769-3699

26 W 73rd Ave
Merrillville, IN 46410
Phone (219) 769-0400

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780717462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105557",
            "telephone_number": "219-769-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W 73RD AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103802",
            "telephone_number": "219-769-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF MERRILLVILLE EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANTICH",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "TOWN OF MERRILLVILLE CLERK-TREASURE",
        "authorized_official_telephone_number": "219-769-3699",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": "0333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000191002",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.