CITY OF SOUTH BEND NPI 1629025713

NPI Information

NPI: 1629025713
Provider Name: CITY OF SOUTH BEND

Doing Business As: SOUTH BEND FIRE DEPT. EMS

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
1222 S MICHIGAN ST
SOUTH BEND, IN
ZIP 46601
Phone: (574) 235-9250
Get Directions

CITY OF SOUTH BEND is a land transport ambulance in South Bend, IN. CITY OF SOUTH BEND NPI is 1629025713. The provider is registered as an organization entity type.
The provider Is Doing Business As South Bend Fire Dept. Ems.

The provider's business location address is:

1222 S MICHIGAN ST
SOUTH BEND, IN
ZIP 46601-430
Phone: (574) 235-9250
Fax: (574) 235-9071

The provider's authorized official is Todd L Skwarcan .
The authorized official title is Assistant Chief and has the following contact phone number (574) 235-9257.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 3/24/2016.

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	0139	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	000000185333	OTHER	INDIANA	ANTHEM BCBS
2	985190	MEDICARE ID-TYPE UNSPECIFIED	INDIANA
3	100286930A	MEDICAID	INDIANA
4	2693941	MEDICAID	MICHIGAN

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: 4/28/2024

NPI Synchronization or Removal

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