Township of Concord

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1047 Issued in IN

Legal business name

TOWNSHIP OF CONCORD

Doing business as

Concord Township Fire Department

Practice address

23625 CR 18
Elkhart, IN 46516-9193

Phone

(574) 875-9644

Fax

(574) 875-7687

NPI assigned

Aug 4, 2006

Last updated

Jan 4, 2019By 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

James E Weeber

Title

Township Trustee

Phone

(574) 293-6889

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Concord Township Fire Department 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": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1982612750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 TOLEDO RD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465165778",
            "telephone_number": "574-293-6899",
            "fax_number": "574-294-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23625 CR 18",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169193",
            "telephone_number": "574-875-9644",
            "fax_number": "574-875-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF CONCORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "WEEBER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "TOWNSHIP TRUSTEE",
        "authorized_official_telephone_number": "574-293-6889"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "1047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200366950A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000384008",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00337260",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord Township Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Concord Township Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sommer Topolski
• Eric Joseph Torbert, DO
• Jaquelin Torres Alvarez
• Emilie Torres-Albaugh
• Total Renal Care Inc (Elkhart Dialysis)
• Caitlynn Track
• Dustin Tran, DO
• Chantyl Jimika Troupe, MSW, LSW
• Cynthia A Troxell, LCAC
• Anthony Troyer, MSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.