Organization Active NPI

City of New Haven

Doing business as East Central Fire and EMS Protection Territory

  • Land Ambulance
  • New Haven, IN
National Provider Identifier
1861199762
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF NEW HAVEN
Doing business as
East Central Fire and EMS Protection Territory
Practice address
910 Hartzell Rd
New Haven, IN 46774-1833
Phone
(260) 749-1235
Fax
(260) 493-7700
NPI assigned
Feb 10, 2023
Last updated
Jul 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Joshua Hale
Title
Chief of Fire/EMS
Phone
(260) 410-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

910 Hartzell Rd
New Haven, IN 46774-1833

Mailing address

PO Box 2122
Riverview, MI 48193-1122
Phone (800) 926-6985

Other names 1

  • East Central Fire and EMS Protection Territory Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230911002402 IN Part B Supplier - Ambulance Service Supplier 9335503200 Practice locations: New Haven, IN; Woodburn, IN

National Provider Directory

National Provider Directory

Locations

420 Broadway St
New Haven, IN 46774
Phone (260) 493-7500

815 Lincoln Hwy E
New Haven, IN 46774

910 Hartzell Rd
New Haven, IN 46774
Phone (219) 749-1235

17022 Woodburn Rd
Woodburn, IN 46797
Phone (260) 632-3021

NPI Registry JSON

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1861199762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2122",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481931122",
            "telephone_number": "800-926-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 HARTZELL RD",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467741833",
            "telephone_number": "260-749-1235",
            "fax_number": "260-493-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NEW HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CHIEF OF FIRE/EMS",
        "authorized_official_telephone_number": "260-410-8500"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Central Fire and EMS Protection Territory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Central Fire and EMS Protection Territory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Haven, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.