Sunman Area Life Squad, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0004 Issued in IN

Legal business name

SUNMAN AREA LIFE SQUAD, INC

Practice address

403 S Meridian St
Sunman, IN 47041-8489

Phone

(812) 623-2763

Fax

(812) 623-5100

NPI assigned

Apr 28, 2009

Organization subpart

No

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

Authorized official

Name

Scott M Corbin, EMT

Title

EMS Chief

Phone

(812) 934-8651

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1790929271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55",
            "city": "SUNMAN",
            "state": "IN",
            "postal_code": "470410055",
            "telephone_number": "812-623-2763",
            "fax_number": "812-623-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S MERIDIAN ST",
            "city": "SUNMAN",
            "state": "IN",
            "postal_code": "470418489",
            "telephone_number": "812-623-2763",
            "fax_number": "812-623-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNMAN AREA LIFE SQUAD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "CORBIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "812-934-8651",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sunman-Dearborn Community Schools
• Sarah Watts
• Amber Willwerth

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.