NPIMap

Organization Active NPI

La Porte County Auditor

Doing business as La Porte County Emergency Medical Service

  • Land Ambulance
  • La Porte, IN
National Provider Identifier
1124071188
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
460146 Issued in IN
Legal business name
LA PORTE COUNTY AUDITOR
Doing business as
La Porte County Emergency Medical Service
Practice address
809 State St
Suite 301a
La Porte, IN 46350-3391
Phone
(219) 326-6808
Fax
(219) 872-0117
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

Name
Patricia L Pease
Title
Administrator
Phone
(219) 326-6808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 460146 IN Primary

Addresses

Primary practice location

809 State St
Suite 301a
La Porte, IN 46350-3391

Mailing address

809 State St
Suite 301a
La Porte, IN 46350-3390
Phone (219) 326-6808

Other identifiers 3

IdentifierTypeStateIssuer
000000186127OtherINBLUE CROSS BLUE SHIELD
100281460AMedicaidIN
590164306OtherGARAILROAD MEDICARE

Other names 1

  • La Porte County Emergency Medical Service Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100209000119 IN Part B Supplier - Ambulance Service Supplier 5395888648 Practice locations: Wanatah, IN; La Porte, IN; Michigan City, IN

National Provider Directory

National Provider Directory
Tax ID family
Laporte County Auditor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1007 Washington St
La Porte, IN 46350
Phone 21932668082296

809 State St
Ste 301A
La Porte, IN 46350
Phone (219) 326-6808

201 W Coolspring Ave
Michigan City, IN 46360
Phone 21932668082296

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1124071188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 STATE ST",
            "address_2": "SUITE 301A",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503390",
            "telephone_number": "219-326-6808",
            "fax_number": "219-872-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 STATE ST",
            "address_2": "SUITE 301A",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503391",
            "telephone_number": "219-326-6808",
            "fax_number": "219-872-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PORTE COUNTY AUDITOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "PEASE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "219-326-6808"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "460146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000186127",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100281460A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590164306",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Porte County Emergency Medical Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Porte, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.