Active NPI
City of Mishawaka
- Ambulance
- Mishawaka, IN
National Provider Identifier
1295791424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 0125
- Legal business name
- CITY OF MISHAWAKA
- Practice address
- 600 E 3Rd St
Mishawaka, IN 46544-2241 - Phone
- (574) 258-1622
- Fax
- (574) 258-1724
- NPI assigned
- Apr 25, 2006
- Last updated
- Sep 8, 2026
- 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
- Yvonne Milligan
- Title
- Controller
- Phone
- (574) 258-1622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 0125 | IN | Primary |
Addresses
Primary practice location
600 E 3Rd St
Mishawaka, IN 46544-2241
Mailing address
600 E 3Rd St
Mishawaka, IN 46544-2241
Phone (574) 258-1622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040722000586 | IN | Part B Supplier - Ambulance Service Supplier | 3779563564 | Practice locations: Mishawaka, IN |
National Provider Directory
National Provider DirectoryLocations
2332 N Main St
Mishawaka, IN 46545
Phone (574) 258-1675
3000 Harrison Rd
Mishawaka, IN 46544
Phone (574) 257-0620
333 E Douglas Rd
Mishawaka, IN 46545
Phone (574) 243-3662
600 E 3rd St
Mishawaka, IN 46544
Phone (574) 258-1622
600 Union St
Mishawaka, IN 46544
Phone (574) 258-1672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788825600000",
"number": "1295791424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 E 3RD ST",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465442241",
"telephone_number": "574-258-1622",
"fax_number": "574-258-1724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E 3RD ST",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465442241",
"telephone_number": "574-258-1622",
"fax_number": "574-258-1724"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF MISHAWAKA",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-25",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A",
"authorized_official_last_name": "MILLIGAN",
"authorized_official_first_name": "YVONNE",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "574-258-1622"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "IN",
"license": "0125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.