Active NPI
Southern Ripley County Emergency Life Squad Inc
Doing business as Rescue 69
- Ambulance
- Versailles, IN
National Provider Identifier
1831100106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- SOUTHERN RIPLEY COUNTY EMERGENCY LIFE SQUAD INC
- Doing business as
- Rescue 69
- Practice address
- 727 W Hopewell Rd
Versailles, IN 47042-7324 - Phone
- (812) 689-3179
- Fax
- (812) 689-4521
- NPI assigned
- Aug 11, 2006
- Last updated
- Nov 26, 2018
- 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
- Charles Cozart
- Title
- Chief
- Phone
- (812) 689-5897
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | Primary |
Addresses
Primary practice location
727 W Hopewell Rd
Versailles, IN 47042-7324
Mailing address
10361 Spartan Dr
Cincinnati, OH 45215-1220
Phone (800) 962-1484
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00241206 | Other | RAILROAD MEDICARE | |
| 2000000191167 | Other | IN | ANTHEM |
| 100289790A | Medicaid | IN |
Other names 1
- Rescue 69
National Provider Directory
National Provider DirectoryLocations
727 W Hopewell Rd
#69
Versailles, IN 47042
Phone (812) 689-5897
Practitioners & affiliated clinicians
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.
-
- Emergency Medicine Physician
- Franklin, OH
- NPI 1982761060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543190400000",
"number": "1831100106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10361 SPARTAN DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452151220",
"telephone_number": "800-962-1484",
"fax_number": "513-772-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 W HOPEWELL RD",
"city": "VERSAILLES",
"state": "IN",
"postal_code": "470427324",
"telephone_number": "812-689-3179",
"fax_number": "812-689-4521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN RIPLEY COUNTY EMERGENCY LIFE SQUAD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-11",
"last_updated": "2018-11-26",
"status": "A",
"authorized_official_last_name": "COZART",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "812-689-5897"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00241206",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "2000000191167",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100289790A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rescue 69",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Rescue 69",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Versailles, IN
- Ripley County Auditor Ripley County Indiana (Ripley County Health Department)
- Ripley County Family Services (Family Connections)
- Vanessa Michele Roll, NP
- Michele L Scudder, RPH
- South Ripley Community School Corporation
- Samuel Stratton, DPT
- Jon Eric Strautman, R.PH.
- Brian Carl Thomas
- Alexandra Thurnall, PHARMD
- Sarah E. Todd, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.