Portage Township St Joe Co

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PORTAGE TOWNSHIP ST JOE CO

Doing business as

St Joseph County Fire Territory

Practice address

54911 Quince Rd
South Bend, IN 46628-4587

Phone

(574) 228-5724

Fax

(336) 791-0196

NPI assigned

Dec 9, 2009

Organization subpart

No

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

Authorized official

Name

Jason Critchlow

Title

Trustee

Phone

(574) 233-2126

Specialties & licenses 1

Addresses

Other names 1

• St Joseph County 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": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1295064954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54911 QUINCE RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466284587",
            "telephone_number": "574-228-5724",
            "fax_number": "336-791-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54911 QUINCE RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466284587",
            "telephone_number": "574-228-5724",
            "fax_number": "336-791-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAGE TOWNSHIP ST JOE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "CRITCHLOW",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "TRUSTEE",
        "authorized_official_telephone_number": "574-233-2126"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Joseph County Fire Territory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Ponterio, NCSP
• Daphne Pontius, APRN WHNP-BC
• Andrea J Popielski, MS
• Tori Popoloski, RBT
• Nicole Marie Popow, BCBA
• Todd J Posar, D.C.
• Joel M Post, D.O.
• Mary Pottenger
• Thomas L Poulin, MD
• Gregory Pouliot, PHD

• 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 Sep 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.