Organization Active NPI

Town of Schererville

  • Land Ambulance
  • Schererville, IN
National Provider Identifier
1598769564
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
985420 Issued in IN
Legal business name
TOWN OF SCHERERVILLE
Practice address
1650 Cline Ave
Schererville, IN 46375-2020
Phone
(219) 322-2599
Fax
(219) 865-5506
NPI assigned
Jun 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Authorized official

Name
Mr. Joseph Kruzan
Title
Fire Chief
Phone
(219) 322-4581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 985420 IN Primary

Addresses

Primary practice location

1650 Cline Ave
Schererville, IN 46375-2020

Mailing address

10 E Joliet St
Schererville, IN 46375-2011
Phone (219) 322-2599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120222000009 IN Part B Supplier - Ambulance Service Supplier 8729246772 Practice locations: Schererville, IN

National Provider Directory

National Provider Directory

Locations

10 E Joliet St
Schererville, IN 46375

1650 Cline Ave
Schererville, IN 46375
Phone (219) 322-2599

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1598769564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E JOLIET ST",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463752011",
            "telephone_number": "219-322-2599",
            "fax_number": "219-865-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 CLINE AVE",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463752020",
            "telephone_number": "219-322-2599",
            "fax_number": "219-865-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF SCHERERVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "KRUZAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "219-322-4581",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "985420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schererville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.