Organization Active NPI

Crawfordsville Emergency Ambulance Service

  • Ambulance
  • Crawfordsville, IN
National Provider Identifier
1821226796
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0002 Issued in IN
Legal business name
CRAWFORDSVILLE EMERGENCY AMBULANCE SERVICE
Practice address
100 S Water St
Crawfordsville, IN 47933-2533
Phone
(765) 362-1277
Fax
(765) 364-5177
NPI assigned
Jun 30, 2009
Last updated
Apr 22, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CITY OF CRAWFORDSVILLEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Authorized official

Name
Todd D. Barton
Title
Asst. Fire Chief/Ambulance Director
Phone
(317) 775-6753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0002 IN Primary

Addresses

Primary practice location

100 S Water St
Crawfordsville, IN 47933-2533

Mailing address

PO Box 50249
Indianapolis, IN 46250-0249
Phone (317) 849-6628

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090722000269 IN Part B Supplier - Ambulance Service Supplier 2668524604 Practice locations: Crawfordsville, IN

National Provider Directory

National Provider Directory
Part of
Crawfordsville Emer Amb

Locations

1509 E Main St
Crawfordsville, IN 47933
Phone (765) 364-5160

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1821226796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50249",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462500249",
            "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": "100 S WATER ST",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479332533",
            "telephone_number": "765-362-1277",
            "fax_number": "765-364-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORDSVILLE EMERGENCY AMBULANCE SERVICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF CRAWFORDSVILLE",
        "enumeration_date": "2009-06-30",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ASST. FIRE CHIEF/AMBULANCE DIRECTOR",
        "authorized_official_telephone_number": "317-775-6753"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": "0002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.