1598835076 NPI number — FOUNTAIN COUNTY AUDITOR

Table of content: (NPI 1598835076)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598835076 NPI number — FOUNTAIN COUNTY AUDITOR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FOUNTAIN COUNTY AUDITOR
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FOUNTAIN COUNTY AMBULANCE SERVICE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598835076
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
409 EAST 50 SOUTH
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VEEDERSBURG
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
47987-8542
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
765-294-2522
Provider Business Mailing Address Fax Number:
765-294-0063

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
409 EAST 50 SOUTH
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VEEDERSBURG
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47987-8542
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
765-294-2522
Provider Business Practice Location Address Fax Number:
765-294-0063
Provider Enumeration Date:
11/09/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KAGELS
Authorized Official First Name:
GARTH
Authorized Official Middle Name:
Authorized Official Title or Position:
EMS DIRECTOR
Authorized Official Telephone Number:
765-294-2522

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)