Active NPI
City of Lawrence
- Ambulance
- Indianapolis, IN
National Provider Identifier
1154307650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 0196
- Legal business name
- CITY OF LAWRENCE
- Practice address
- 9001 E 59TH St Ste 302
Indianapolis, IN 46216-1036 - Phone
- (317) 549-4825
- Fax
- (317) 549-8671
- NPI assigned
- Dec 16, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Wallace
- Title
- Fire Chief
- Phone
- (317) 775-6753
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 0196 | IN | Primary |
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
9001 E 59TH St Ste 302
Indianapolis, IN 46216-1036
Mailing address
PO Box 501368
Indianapolis, IN 46250-6368
Phone (317) 775-6751
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000186313 | Other | IN | BLUE CROSS BLUE SHIELD |
| 100289300A | Medicaid | IN | |
| 590002786 | Other | IN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051104000311 | IN | Part B Supplier - Ambulance Service Supplier | 7012935372 | Practice locations: Indianapolis, IN; Lawrence, IN |
National Provider Directory
National Provider DirectoryLocations
9530 E 59th St
Indianapolis, IN 46216
Phone (317) 547-4371
4902 N German Church Rd
Indianapolis, IN 46235
Phone (317) 547-4371
9001 E 59th St
Ste 203
Indianapolis, IN 46216
Phone (317) 547-4371
9001 E 59th St
Ste 302
Indianapolis, IN 46216
Phone (317) 547-4371
4450 McCoy St
Lawrence, IN 46226
Phone (317) 547-4371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754524800000",
"number": "1154307650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 501368",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462506368",
"telephone_number": "317-775-6751",
"fax_number": "317-498-6632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 E 59TH ST STE 302",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462161036",
"telephone_number": "317-549-4825",
"fax_number": "317-549-8671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF LAWRENCE",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-16",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A",
"authorized_official_last_name": "WALLACE",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "317-775-6753"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "IN",
"license": "0196",
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000186313",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100289300A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590002786",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.