NPIMap

Organization Active NPI

Amity Community Volunteer Fire Department Incorporated

  • Ambulance
  • Franklin, IN
National Provider Identifier
1992145072
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0592 Issued in IN
Legal business name
AMITY COMMUNITY VOLUNTEER FIRE DEPARTMENT INCORPORATED
Practice address
3274 S 550 E
Franklin, IN 46131-8137
Phone
(317) 738-3452
NPI assigned
Jul 3, 2013
Last updated
Aug 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Authorized official

Name
Jackie A Brockman
Title
Fire Chief
Phone
(317) 775-6753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0592 IN Primary

Addresses

Primary practice location

3274 S 550 E
Franklin, IN 46131-8137

Mailing address

PO Box 56002
Indianapolis, IN 46256-0002
Phone (317) 849-6628

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131105000700 IN Part B Supplier - Ambulance Service Supplier 8123253879 Practice locations: Franklin, IN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1992145072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56002",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462560002",
            "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": "3274 S 550 E",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461318137",
            "telephone_number": "317-738-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMITY COMMUNITY VOLUNTEER FIRE DEPARTMENT INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "BROCKMAN",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "317-775-6753"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": "0592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.