Active NPI
Morgan County Auditor
- Land Ambulance
- Martinsville, IN
National Provider Identifier
1790775401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0237
- Legal business name
- MORGAN COUNTY AUDITOR
- Practice address
- 1789 E Morgan St
Martinsville, IN 46151-1848 - Phone
- (765) 342-8467
- Fax
- (765) 349-9736
- NPI assigned
- Oct 24, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brent Worth
- Title
- Administrative Director
- Phone
- (317) 775-6753
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0237 | IN | Primary |
Addresses
Primary practice location
1789 E Morgan St
Martinsville, IN 46151-1848
Mailing address
PO Box 502250
Indianapolis, IN 46250-7250
Phone (317) 849-6628
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200293720A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120111000578 | IN | Part B Supplier - Ambulance Service Supplier | 5890962021 | Practice locations: Martinsville, IN; Monrovia, IN; Paragon, IN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722902400000",
"number": "1790775401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 502250",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462507250",
"telephone_number": "317-849-6628",
"fax_number": "317-849-6632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1789 E MORGAN ST",
"city": "MARTINSVILLE",
"state": "IN",
"postal_code": "461511848",
"telephone_number": "765-342-8467",
"fax_number": "765-349-9736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORGAN COUNTY AUDITOR",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-24",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A",
"authorized_official_last_name": "WORTH",
"authorized_official_first_name": "BRENT",
"authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
"authorized_official_telephone_number": "317-775-6753",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IN",
"license": "0237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200293720A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Martinsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.