Organization Active NPI

City of Lawrence

  • Ambulance
  • Indianapolis, IN
National Provider Identifier
1154307650
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0196 Issued in IN
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

Updated by the provider on Aug 7, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000186313OtherINBLUE CROSS BLUE SHIELD
100289300AMedicaidIN
590002786OtherINRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051104000311 IN Part B Supplier - Ambulance Service Supplier 7012935372 Practice locations: Indianapolis, IN; Lawrence, IN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.