Organization Active NPI

Monroe Fire Protection District

  • Ambulance
  • Bloomington, IN
National Provider Identifier
1942065685
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20240503001004 IN Part B Supplier - Ambulance Service Supplier 8022458314 Practice locations: Bloomington, IN

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.