Organization Active NPI

White River Township Hamilton County

Doing business as White River Volunteer Fire Department

  • Land Ambulance
  • Cicero, IN
National Provider Identifier
1790373306
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
WHITE RIVER TOWNSHIP HAMILTON COUNTY
Doing business as
White River Volunteer Fire Department
Practice address
12695 E 256TH St
Cicero, IN 46034-9466
Phone
(317) 984-5624
NPI assigned
Jan 8, 2021
Last updated
Apr 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
Garry Harling
Title
Chief
Phone
(317) 775-6753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

12695 E 256TH St
Cicero, IN 46034-9466

Mailing address

PO Box 56002
Indianapolis, IN 46256-0002
Phone (317) 775-6753

Other names 1

  • White River Volunteer Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210402000776 IN Part B Supplier - Ambulance Service Supplier 1254748528 Practice locations: Cicero, IN

National Provider Directory

National Provider Directory

Locations

12695 E 256th St
Cicero, IN 46034
Phone (317) 984-5624

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1790373306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56002",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462560002",
            "telephone_number": "317-775-6753",
            "fax_number": "317-849-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12695 E 256TH ST",
            "city": "CICERO",
            "state": "IN",
            "postal_code": "460349466",
            "telephone_number": "317-984-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE RIVER TOWNSHIP HAMILTON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "HARLING",
        "authorized_official_first_name": "GARRY",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "317-775-6753"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White River Volunteer Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "White River Volunteer Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cicero, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.