Organization Active NPI

City of Terre Haute

Doing business as Terre Haute Fire Department

  • Land Ambulance
  • Terre Haute, IN
National Provider Identifier
1912990268
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0064 Issued in IN
Legal business name
CITY OF TERRE HAUTE
Doing business as
Terre Haute Fire Department
Practice address
559 W Margaret Dr
Terre Haute, IN 47802-3788
Phone
(812) 244-2801
NPI assigned
Aug 23, 2005
Last updated
Jul 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Diana Luther
Title
Deputy Chief of EMS
Phone
(812) 244-2811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0064 IN Primary

Addresses

Primary practice location

559 W Margaret Dr
Terre Haute, IN 47802-3788

Mailing address

17 Harding Ave
Terre Haute, IN 47807-3427
Phone (812) 234-8693

Other identifiers 1

IdentifierTypeStateIssuer
100282090MedicaidIN

Other names 1

  • Terre Haute Fire Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100128000452 IN Part B Supplier - Ambulance Service Supplier 0547302564 Practice locations: Terre Haute, IN

National Provider Directory

National Provider Directory

Locations

1300 Fort Harrison Rd
Terre Haute, IN 47804
Phone (812) 234-8653

17 Harding Ave
Terre Haute, IN 47807

240 S Fruitridge Ave
Terre Haute, IN 47803
Phone (812) 232-3181

25 Spruce St
Terre Haute, IN 47807
Phone (812) 244-2803

559 W Margaret Dr
Terre Haute, IN 47802
Phone (812) 232-2956

875 College Ave
Terre Haute, IN 47802
Phone (812) 232-2956

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1912990268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HARDING AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478073427",
            "telephone_number": "812-234-8693",
            "fax_number": "812-234-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 W MARGARET DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023788",
            "telephone_number": "812-244-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF TERRE HAUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "LUTHER",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "DEPUTY CHIEF OF EMS",
        "authorized_official_telephone_number": "812-244-2811"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100282090",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terre Haute Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.

Verify at the official NPI Registry.