CITY OF PORTAGE NPI 1306965223

NPI Information

NPI: 1306965223
Provider Name: CITY OF PORTAGE

Doing Business As: PORTAGE FIRE DEPARTMENT AMBULANCE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
3401 SWANSON RD
PORTAGE, IN
ZIP 46368
Phone: (219) 762-7784
Get Directions

CITY OF PORTAGE is a land transport ambulance in Portage, IN. CITY OF PORTAGE NPI is 1306965223. The provider is registered as an organization entity type.
The provider Is Doing Business As Portage Fire Department Ambulance.

The provider's business location address is:

3401 SWANSON RD
PORTAGE, IN
ZIP 46368-822
Phone: (219) 762-7784
Fax: (219) 763-9607

The provider's authorized official is Roy Johnson .
The authorized official title is Ems Chief Of Operations and has the following contact phone number (219) 707-7711.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 3/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	0066	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100271470A	MEDICAID	INDIANA
2	000000234636	OTHER	INDIANA	ANTHEM INSURANCE COMP
3	590164506	OTHER	INDIANA	PAMETTO RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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