Organization Active NPI

Whiteland Volunteer Fire Department

  • Land Ambulance
  • Whiteland, IN
National Provider Identifier
1902904246
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0517 Issued in IN
Legal business name
WHITELAND VOLUNTEER FIRE DEPARTMENT
Practice address
141 S State St
Whiteland, IN 46184-1638
Phone
(317) 535-8280
Fax
(317) 535-6703
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Authorized official

Name
Jonathan Cabenagh
Title
EMS Director
Phone
(317) 775-6753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0517 IN Primary

Addresses

Primary practice location

141 S State St
Whiteland, IN 46184-1638

Mailing address

PO Box 2915
Elkhart, IN 46515-2915
Phone (574) 293-3030

Other identifiers 3

IdentifierTypeStateIssuer
P00431704OtherRRMC PTAN
000000363309OtherINANTHEM
200225610AMedicaidIN

National Provider Directory

National Provider Directory

Locations

141 S State St
Whiteland, IN 46184
Phone (317) 535-8280

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1902904246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2915",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465152915",
            "telephone_number": "574-293-3030",
            "fax_number": "574-294-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S STATE ST",
            "city": "WHITELAND",
            "state": "IN",
            "postal_code": "461841638",
            "telephone_number": "317-535-8280",
            "fax_number": "317-535-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITELAND VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "CABENAGH",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "317-775-6753"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC PTAN",
            "identifier": "P00431704",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000363309",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200225610A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.