Active NPI
Crawford County Auditor
- Land Ambulance
- English, IN
National Provider Identifier
1861487134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0180
- Legal business name
- CRAWFORD COUNTY AUDITOR
- Practice address
- 713 East State Road 64
English, IN 47118-0336 - Phone
- (812) 338-2463
- Fax
- (812) 338-2463
- NPI assigned
- Sep 13, 2005
- 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. John O Gott, PARAMEDIC
- Title
- Director
- Phone
- (812) 338-2463
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0180 | IN | Primary |
Addresses
Primary practice location
713 East State Road 64
English, IN 47118-0336
Mailing address
PO Box 336
English, IN 47118-0336
Phone (812) 338-2463
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000176312 | Other | IN | ANTHEM BC/BS |
| 100281700A | Medicaid | IN | |
| 5001404 | Other | IN | PASSPORT - MA MCO |
| 616211800 | Other | IN | FEDERAL BLACK LUNG PROGRAM |
| 590587033 | Other | IN | RAILROAD MEDICARE - PALMETTO |
Other names 1
- Crawford County Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061220000076 | IN | Part B Supplier - Ambulance Service Supplier | 3577562586 | Practice locations: English, IN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363046400000",
"number": "1861487134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 336",
"city": "ENGLISH",
"state": "IN",
"postal_code": "471180336",
"telephone_number": "812-338-2463",
"fax_number": "812-338-2463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 EAST STATE ROAD 64",
"city": "ENGLISH",
"state": "IN",
"postal_code": "471180336",
"telephone_number": "812-338-2463",
"fax_number": "812-338-2463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRAWFORD COUNTY AUDITOR",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-13",
"last_updated": "2013-03-12",
"status": "A",
"authorized_official_last_name": "GOTT",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "812-338-2463",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PARAMEDIC"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IN",
"license": "0180",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000176312",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100281700A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT - MA MCO",
"identifier": "5001404",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLACK LUNG PROGRAM",
"identifier": "616211800",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE - PALMETTO",
"identifier": "590587033",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Crawford County Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in English, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.