TIPPECANOE EMERGENCY AMBULANCE SERVICE NPI 1063497121

NPI Information

  • NPI: 1063497121
  • Provider Name: TIPPECANOE EMERGENCY AMBULANCE SERVICE
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • Doing Business As: TEAS
  • CLIA Number: 15D0857155
  • Address: 1501 HARTFORD ST
    LAFAYETTE, IN
    ZIP 47904
  • Phone: (765) 423-6235

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NPI Details

TIPPECANOE EMERGENCY AMBULANCE SERVICE is a land transport ambulance in Lafayette, IN. TIPPECANOE EMERGENCY AMBULANCE SERVICE NPI is 1063497121. The provider is registered as an organization entity type.
The provider Is Doing Business As Teas.

The provider's business location address is:

1501 HARTFORD ST
LAFAYETTE, IN
ZIP 47904-134
Phone: (765) 423-6235
Fax: (765) 423-6049

The provider's authorized official is Allen L. Borck .
The authorized official title is Ceo and has the following contact phone number (765) 423-6235.

The CLIA number assigned to this NPI record is 15D0857155 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2005 and was last updated on 5/29/2008.

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
13416L0300XAmbulanceLand Transport0007INDIANAYes

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
1978810MEDICARE PININDIANA
2000000197897OTHERINDIANAANTHEM
3791590342OTHERRR MEDICARE
4978820MEDICARE ID-TYPE UNSPECIFIEDINDIANA
5100281800MEDICAIDINDIANA

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: 11/21/2025

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