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FOUNTAINTOWN COMMUNITY VOLUNTEER FIRE DEPARTMENT INC.
NPI 1366499071
Ambulance in Fountaintown, IN

Active since May 28, 2006
141 E BROOKVILLE RD, FOUNTAINTOWN, IN 46130(317) 861-4540 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 1, 2023, May 25, 2023 (2 updates tracked since 2023).

About Fountaintown Community Volunteer Fire Department Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOUNTAINTOWN COMMUNITY VOLUNTEER FIRE DEPARTMENT INC. (NPI 1366499071) is a healthcare organization registered as an ambulance in Fountaintown, Indiana and active in the NPI registry since May 2006. The organization lists Georgina Tyner, Treasurer, Board Of Directors, as its authorized official.

NPPES Registry Identity

NPI1366499071
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameFOUNTAINTOWN COMMUNITY VOLUNTEER FIRE DEPARTMENT INC.
Location Address141 E BROOKVILLE RDFountaintown, IN 46130-9701
Mailing AddressPo Box 50890Indianapolis, IN 46250-0890 · (317) 849-6628 · Fax (317) 849-6632
Phone(317) 861-4540
Organization SubpartNo
Authorized OfficialGeorgina TynerTreasurer, Board Of Directors · (317) 775-6753
Enumeration DateMay 28, 2006
Last NPPES UpdateJune 1, 20232 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
✔ NPI 1366499071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
141 E BROOKVILLE RD, Fountaintown, IN 46130
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Other Identifiers 1

Medicaid100290610IN

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fountaintown Community Volunteer Fire Department Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20050124000953Non-DME Part B · Ambulance Service SupplierDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
535 services42 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
30 services24 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
23 services20 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fountaintown Community Volunteer Fire Department Inc.'s NPI number?

The NPI number for Fountaintown Community Volunteer Fire Department Inc. is 1366499071. It was assigned to this organization in the NPPES registry on May 28, 2006.

Where is Fountaintown Community Volunteer Fire Department Inc. located?

Fountaintown Community Volunteer Fire Department Inc. is located at 141 E Brookville Rd, Fountaintown, IN 46130. The listed phone number is (317) 861-4540.

What is Fountaintown Community Volunteer Fire Department Inc.'s specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Is Fountaintown Community Volunteer Fire Department Inc. enrolled in Medicare?

Yes. Fountaintown Community Volunteer Fire Department Inc. is registered in the Medicare PECOS enrollment system.

When is Fountaintown Community Volunteer Fire Department Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Ambulance Service Supplier) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Fountaintown Community Volunteer Fire Department Inc. was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.