Board of Commissioners of Newton County
Organization Active NPI Land Ambulance · Lake Village, IN
NPI 1417955873 · NPPES record last updated May 4, 2026
Key facts
- NPI
- 1417955873
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 0251 (IN)
- Legal business name
- BOARD OF COMMISSIONERS OF NEWTON COUNTY
- Practice address
- 9951 N 100 E
Lake Village, IN 46349-9317 - Phone
- (888) 663-9866
- Fax
- (219) 345-2064
- NPI assigned
- Jul 11, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- BOARD OF COMMISSIONERS OF NEWTON COUNTY
Authorized official
- Name
- Paula Knapp
- Title
- Chief Deputy
- Phone
- (888) 663-9866
Parent organization (reported in NPPES) 1
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| George Ade Memorial Health Care Center |
Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120312000022 | IN | Part B Supplier - Ambulance Service Supplier | 7012176092 | Practice locations: Lake Village, IN |
National Provider Directory
- Tax ID family
- Board Newton County
- Part of
- Board Newton County
Locations
9951 N 100 E
Lake Village, IN 46349
Phone (888) 663-9866
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0251 | IN | Yes |
Addresses
Primary practice location
9951 N 100 E
Lake Village, IN 46349-9317
Mailing address
9951 N 100 E
Lake Village, IN 46349-9317
Phone (888) 663-9866
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417955873 | Other | IN | GROUP ADMINISTRATORS LTD |
| 590009787 | Other | IN | UNITED HEALTH |
| 100287780A | Medicaid | IN | |
| 000000189146 | Other | KY | ANTHEM |
| 100287780 | Medicaid | IN | |
| 1417955873 | Other | KS | CONTINENTAL GEN INS CO IN |
| 17148 | Other | IN | ARNETT HMO |
| 000000189146 | Other | IN | BC/BS |
| P62949 | Other | MI | BLUE CARE |
Other names
- Newton County Ambulance Service
Other providers in Lake Village, IN
All providers in Lake Village, IN · Land Ambulance in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.