NPIMap

Organization Active NPI

Area 10 Agency on Aging Rural Transit

  • Non-emergency Medical Transport (VAN)
  • Ellettsville, IN
National Provider Identifier
1851459002
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
763020 Issued in IN
Legal business name
AREA 10 AGENCY ON AGING RURAL TRANSIT
Practice address
630 Edgewood Dr
Ellettsville, IN 47429-1134
Phone
(812) 876-3383
Fax
(812) 876-9922
NPI assigned
Dec 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jewel Echelbarght
Title
Director
Phone
(812) 876-3383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 763020 IN Primary

Addresses

Primary practice location

630 Edgewood Dr
Ellettsville, IN 47429-1134

Mailing address

630 Edgewood Dr
Ellettsville, IN 47429-1134
Phone (812) 876-3383

National Provider Directory

National Provider Directory
Tax ID family
Area 10 Agency on Aging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

631 W Edgewood Dr
Ellettsville, IN 47429
Phone (812) 876-3383

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851459002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 EDGEWOOD DR",
            "city": "ELLETTSVILLE",
            "state": "IN",
            "postal_code": "474291134",
            "telephone_number": "812-876-3383",
            "fax_number": "812-876-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 EDGEWOOD DR",
            "city": "ELLETTSVILLE",
            "state": "IN",
            "postal_code": "474291134",
            "telephone_number": "812-876-3383",
            "fax_number": "812-876-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AREA 10 AGENCY ON AGING RURAL TRANSIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ECHELBARGHT",
        "authorized_official_first_name": "JEWEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "812-876-3383"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IN",
            "license": "763020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellettsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.