Active NPI
Monroe Fire Protection District
- Ambulance
- Bloomington, IN
National Provider Identifier
1942065685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- MONROE FIRE PROTECTION DISTRICT
- Practice address
- 3953 S Kennedy Dr
Bloomington, IN 47401-9619 - Phone
- (812) 331-1906
- NPI assigned
- Feb 20, 2024
- Last updated
- Mar 27, 2024
- 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
- Matthew Bright
- Title
- Deputy Chief of EMS
- Phone
- (317) 775-6753
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
3953 S Kennedy Dr
Bloomington, IN 47401-9619
Mailing address
PO Box 50890
Indianapolis, IN 46250-0890
Phone (317) 849-6628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240503001004 | IN | Part B Supplier - Ambulance Service Supplier | 8022458314 | Practice locations: Bloomington, IN |
National Provider Directory
National Provider DirectoryLocations
3953 S Kennedy Dr
Bloomington, IN 47401
Phone (812) 331-1906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711497600000",
"number": "1942065685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50890",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462500890",
"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": "3953 S KENNEDY DR",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474019619",
"telephone_number": "812-331-1906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONROE FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-20",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A",
"authorized_official_last_name": "BRIGHT",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "DEPUTY CHIEF OF EMS",
"authorized_official_telephone_number": "317-775-6753"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
- Megan Monnier, NP
- Monroe County Chiropractic
- Monroe County Community School Corporation
- Monroe County Government (Monroe County Health Department Family Planning Clinic)
- Monroe Family Practice, LLC
- Monroe Hosoital
- Monroe Hospital Ambulance Service
- Monroe Hospital, LLC
- Monroe Hospital, LLC
- Monroe Medical Group Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.