Active NPI
West Central Fire District
- Land Ambulance
- Fort Wayne, IN
National Provider Identifier
1851092357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- WEST CENTRAL FIRE DISTRICT
- Practice address
- 11321 Aboite Center Rd
Fort Wayne, IN 46814-5472 - Phone
- (260) 436-1449
- NPI assigned
- Mar 13, 2023
- 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
- Mr. Garry Teeguarden
- Title
- President
- Phone
- (765) 760-3874
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
11321 Aboite Center Rd
Fort Wayne, IN 46814-5472
Mailing address
11321 Aboite Center Rd
Fort Wayne, IN 46814-5472
Phone (260) 436-1449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240113000097 | IN | Part B Supplier - Ambulance Service Supplier | 9032561139 | Practice locations: Fort Wayne, IN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678665600000",
"number": "1851092357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11321 ABOITE CENTER RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468145472",
"telephone_number": "260-436-1449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11321 ABOITE CENTER RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468145472",
"telephone_number": "260-436-1449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST CENTRAL FIRE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-13",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A",
"authorized_official_last_name": "TEEGUARDEN",
"authorized_official_first_name": "GARRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "765-760-3874",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.