Active NPI
Town of Schererville
- Land Ambulance
- Schererville, IN
National Provider Identifier
1598769564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 985420
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120222000009 | IN | Part B Supplier - Ambulance Service Supplier | 8729246772 | Practice locations: Schererville, IN |
National Provider Directory
National Provider DirectoryLocations
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.