Monroe Hospital Ambulance Service

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

MONROE HOSPITAL AMBULANCE SERVICE

Practice address

4011 S Monroe Medical Park Blvd
Bloomington, IN 47403-8000

Phone

(812) 825-0904

NPI assigned

Sep 21, 2008

Last updated

Jan 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan D Hart, MDNPI 1154300770

Title

Ceo/Medical Director

Phone

(812) 825-0892

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan D Hart, M.D.

  • Family Medicine Physician
  • Bloomington, IN
  • NPI 1154300770
  NPD (past) Authorized official

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

{
    "created_epoch": "1221955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1801046347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 S MONROE MEDICAL PARK BLVD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474038000",
            "telephone_number": "812-825-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 S MONROE MEDICAL PARK BLVD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474038000",
            "telephone_number": "812-825-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE HOSPITAL AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-21",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "812-825-0892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200921860A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "258790",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monroe County Community School Corporation
• Monroe County Government (Monroe County Health Department Family Planning Clinic)
• Monroe Family Practice, LLC
• Monroe Fire Protection District
• Monroe Hosoital
• Monroe Hospital, LLC
• Monroe Hospital, LLC
• Monroe Medical Group Inc
• Monroe Physicians Group
• Monroe Physicians Group

• Ambulance in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.