Active NPI
Wabash Civil Township
- Ambulance
- West Lafayette, IN
National Provider Identifier
1336936970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- WABASH CIVIL TOWNSHIP
- Doing business as
- Wabash Township Fire Department
- Practice address
- 2899 Klondike Rd
West Lafayette, IN 47906-5207 - Phone
- (765) 463-6664
- NPI assigned
- Apr 24, 2025
- 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
- Daniel Huff
- Title
- Division Chief of EMS
- Phone
- (317) 775-6753
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary | ||
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
2899 Klondike Rd
West Lafayette, IN 47906-5207
Mailing address
PO Box 503024
Indianapolis, IN 46250-8024
Phone (317) 849-6628
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300113743 | Medicaid | IN |
Other names 1
- Wabash Township Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250826003925 | IN | Part B Supplier - Ambulance Service Supplier | 9739689431 | Practice locations: West Lafayette, IN |
National Provider Directory
National Provider DirectoryLocations
2899 Klondike Rd
West Lafayette, IN 47906
Phone (765) 463-6664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753574400000",
"number": "1336936970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 503024",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462508024",
"telephone_number": "317-849-6628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2899 KLONDIKE RD",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479065207",
"telephone_number": "765-463-6664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WABASH CIVIL TOWNSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-24",
"last_updated": "2025-07-27",
"certification_date": "2025-07-27",
"status": "A",
"authorized_official_last_name": "HUFF",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "DIVISION CHIEF OF EMS",
"authorized_official_telephone_number": "317-775-6753"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300113743",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wabash Township Fire Department",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Wabash Township Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.