Eaton Emergency Medical Technicians Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0289 Issued in IN

Legal business name

EATON EMERGENCY MEDICAL TECHNICIANS INC

Practice address

103 W Indiana Ave
Eaton, IN 47338-8832

Phone

(765) 396-3748

Fax

(765) 396-4427

NPI assigned

Feb 7, 2007

Last updated

Sep 4, 2024By 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

Wendy Smith

Title

Chief Financial Officer

Phone

(317) 775-6753

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Eaton EMTs, Inc. Other name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1841330362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W INDIANA AVE",
            "address_2": "PO BOX 414",
            "city": "EATON",
            "state": "IN",
            "postal_code": "473388832",
            "telephone_number": "765-396-3748",
            "fax_number": "765-396-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W INDIANA AVE",
            "city": "EATON",
            "state": "IN",
            "postal_code": "473388832",
            "telephone_number": "765-396-3748",
            "fax_number": "765-396-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATON EMERGENCY MEDICAL TECHNICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "317-775-6753"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0289",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590013960",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100101960A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS & BLUE",
            "identifier": "000000242407",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eaton EMTs, Inc.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Eaton EMTs, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Leah Victoria Cook
• Brittani Leanne Owen, ATC, LAT
• Lizabeth Van Hooser, N.P.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.