Clay Civil Township

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CLAY CIVIL TOWNSHIP

Practice address

18355 Auten Rd
South Bend, IN 46637-2608

Phone

(574) 272-2144

NPI assigned

Dec 28, 2009

Organization subpart

No

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

Authorized official

Name

Jaren Kilian

Title

Fire Chief

Phone

(574) 272-2144

Specialties & licenses 2

Addresses

Other names 1

• Clay Fire Territory 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": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1285964148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2122",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481931122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18355 AUTEN RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466372608",
            "telephone_number": "574-272-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY CIVIL TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "KILIAN",
        "authorized_official_first_name": "JAREN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "574-272-2144"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": "0394",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clay Fire Territory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shaheda Clark
• Stacy Clark, RPH
• Sylvan E Clarke, M.D.
• Clarkson Mobility 24/7/365 LLC.
• Robert W Clausen, MD
• Clay Township Clinic LLC
• David Lee Clayton, M.D.
• Robert E. Clemency Jr., M.D.
• Alexia Renee Clements
• Ivan Ross Clements

• Land Ambulance in South Bend, IN
• Providers in South Bend, IN by specialty
• Land Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.