Portage Township Porter County

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0067 Issued in IN

Legal business name

PORTAGE TOWNSHIP PORTER COUNTY

Doing business as

Portage Township Ambulance

Practice address

398 W 700 N
Valparaiso, IN 46385

Phone

(219) 759-3919

Fax

(219) 759-8068

NPI assigned

May 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brenda Clancy

Title

Trustee

Phone

(219) 762-1623

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Portage Township Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1003868548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270230429",
            "telephone_number": "734-224-4474",
            "fax_number": "336-791-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 W 700 N",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "46385",
            "telephone_number": "219-759-3919",
            "fax_number": "219-759-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAGE TOWNSHIP PORTER COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "CLANCY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "TRUSTEE",
        "authorized_official_telephone_number": "219-762-1623"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": "0067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000210160",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100288610",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portage Township Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Pete Politakis, D.D.S
• Sarah Elaine Polito, DO
• Bridget Grace Pollard, PA-C
• Barbara J Popa
• Anand P Popli, MD
• Porter
• Porter County Anesthesia Associates PC
• Porter County Auditors Office (Porter County Health Department)
• Porter County Chiropractic Clinic Inc.
• Porter County Community Services, Inc

• Ambulance in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.