Carpenter Township Ttee

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0228 Issued in IN

Legal business name

CARPENTER TOWNSHIP TTEE

Practice address

33 N. Indiana Street
Remington, IN 47977

Phone

(219) 261-2374

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Gloria Hawkes

Title

Trustee

Phone

(219) 261-2374

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1861401556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 N NEBRASKA ST",
            "city": "REMINGTON",
            "state": "IN",
            "postal_code": "479778676",
            "telephone_number": "219-261-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 N. INDIANA STREET",
            "city": "REMINGTON",
            "state": "IN",
            "postal_code": "47977",
            "telephone_number": "219-261-2374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17739 S 1080 W",
            "address_purpose": "LOCATION",
            "city": "goodland",
            "state": "IN",
            "postal_code": "479488612",
            "country_code": "US",
            "telephone_number": "219-297-3395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARPENTER TOWNSHIP TTEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "HAWKES",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "TRUSTEE",
        "authorized_official_telephone_number": "219-261-2374"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000207716",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100282110",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590011495",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stuart David Amick, DDS
• James R Castor, D.D.S.
• Jessica A Castor, COTA
• Shannon Dowds
• Remington Family Dentistry LLC
• Jason L Sanders, DDS

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

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

Verify at the official NPI Registry.