Eastern Greene Fire Protection Territory Corporation

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

EASTERN GREENE FIRE PROTECTION TERRITORY CORPORATION

Doing business as

Center-Jackson Township Fire Territory Corporation

Practice address

11216 E State Road 54
Bloomfield, IN 47424-6073

Phone

(812) 709-9445

NPI assigned

Jan 9, 2020

Last updated

Feb 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeremy R Inman

Title

Chief

Phone

(812) 709-9445

Specialties & licenses 1

Addresses

Other names 1

• Center-Jackson Township Fire Territory Corporation Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1922648781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11216 E STATE ROAD 54",
            "city": "BLOOMFIELD",
            "state": "IN",
            "postal_code": "474246073",
            "telephone_number": "812-709-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11216 E STATE ROAD 54",
            "city": "BLOOMFIELD",
            "state": "IN",
            "postal_code": "474246073",
            "telephone_number": "812-709-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN GREENE FIRE PROTECTION TERRITORY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "INMAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "812-709-9445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center-Jackson Township Fire Territory Corporation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center-Jackson Township Fire Territory Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Clark, LAT, ATC
• Kari Dawn Cochenour, DPT, PT, LAT, ATC
• Cory Brett Cramer
• Julia G Crane, LCSW
• Joshua Cullison, MD
• Eastern Greene Schools
• Ariel Ann Feltner, FNP
• Sarah Elizabeth Flemming, MD
• Tyralee Frye
• Megan Gainey

• Land Ambulance in Bloomfield, IN
• Providers in Bloomfield, IN by specialty
• Land Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.