Active NPI
Coatesville Volunteer Fire Department Inc
- Land Ambulance
- Coatesville, IN
National Provider Identifier
1902933682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0477
- Legal business name
- COATESVILLE VOLUNTEER FIRE DEPARTMENT INC
- Doing business as
- Coatesville Volunteer Fire Department Inc
- Practice address
- 8098 Main St.
Coatesville, IN 46121 - Phone
- (765) 386-2391
- Fax
- (765) 386-7490
- NPI assigned
- Feb 28, 2007
- Last updated
- Jun 12, 2026
- 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. Kyle Johnson
- Title
- Fire Chief
- Phone
- (317) 775-6753
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0477 | IN | Primary |
Addresses
Primary practice location
8098 Main St.
Coatesville, IN 46121
Mailing address
PO Box 502250
Indianapolis, IN 46250-7250
Phone (317) 849-6628
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200046770A | Medicaid | IN | |
| M300033739 | Other | IN | MEDICARE PTAN |
Other names 1
- Coatesville Volunteer Fire Department Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110124000641 | IN | Part B Supplier - Ambulance Service Supplier | 3678752607 | Practice locations: Coatesville, IN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781222400000",
"number": "1902933682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 502250",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462507250",
"telephone_number": "317-849-6628",
"fax_number": "317-849-6632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8098 MAIN ST.",
"city": "COATESVILLE",
"state": "IN",
"postal_code": "46121",
"telephone_number": "765-386-2391",
"fax_number": "765-386-7490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COATESVILLE VOLUNTEER FIRE DEPARTMENT INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "KYLE",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "317-775-6753",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IN",
"license": "0477",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200046770A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "M300033739",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Coatesville Volunteer Fire Department Inc",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Coatesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.