Active NPI
Town of Plainfield
- Ambulance
- Plainfield, IN
National Provider Identifier
1881700953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 0044
- Legal business name
- TOWN OF PLAINFIELD
- Doing business as
- Plainfield Fire Territory
- Practice address
- 591 Moon Rd
Plainfield, IN 46168-8797 - Phone
- (317) 754-5180
- Fax
- (317) 838-3716
- NPI assigned
- Aug 22, 2006
- 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. Brent Anderson
- Title
- Fire Chief
- Phone
- (317) 754-5180
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 0044 | IN | |
| Ambulance | 341600000X | 0044 | IN | Primary |
Addresses
Primary practice location
591 Moon Rd
Plainfield, IN 46168-8797
Mailing address
PO Box 65
Plainfield, IN 46168-0065
Phone (317) 839-2561
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100452640 | Medicaid | IN | |
| P00103861 | Other | RAILROAD MEDICARE |
Other names 1
- Plainfield Fire Territory
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120112000284 | IN | Part B Supplier - Ambulance Service Supplier | 8527235613 | Practice locations: Plainfield, IN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0906076 | Plainfield Fire Territory | Certificate of waiver | Aug 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
591 Moon Rd
Plainfield, IN 46168
Phone (317) 754-5180
206 W Main St
Plainfield, IN 46168
Phone (317) 839-2561
400 Airtech Pkwy
Plainfield, IN 46168
Phone (319) 839-6939
1080 Edwards Dr
Plainfield, IN 46168
Phone (319) 839-6939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662422400000",
"number": "1881700953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 65",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "461680065",
"telephone_number": "317-839-2561",
"fax_number": "317-838-5236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "591 MOON RD",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "461688797",
"telephone_number": "317-754-5180",
"fax_number": "317-838-3716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF PLAINFIELD",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-22",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "BRENT",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "317-754-5180",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Paramedic",
"state": "IN",
"license": "0044",
"primary": false
},
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "IN",
"license": "0044",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100452640",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00103861",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Plainfield Fire Territory",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plainfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.