City of South Bend

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0139 Issued in IN

Legal business name

CITY OF SOUTH BEND

Practice address

1222 S Michigan St
South Bend, IN 46601-3430

Phone

(574) 235-9250

Fax

(574) 235-9071

NPI assigned

May 27, 2006

Organization subpart

Yes

Parent organization

CITY OF SOUTH BENDAs reported in NPPES

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

Authorized official

Name

Mr. Todd L Skwarcan, EMT-P

Title

Assistant Chief

Phone

(574) 235-9257

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• SOUTH BEND FIRE DEPT. EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

City of South Bend

Locations

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1629025713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 S MICHIGAN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466013430",
            "telephone_number": "574-235-9250",
            "fax_number": "574-235-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 S MICHIGAN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466013430",
            "telephone_number": "574-235-9250",
            "fax_number": "574-235-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SOUTH BEND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF SOUTH BEND",
        "enumeration_date": "2006-05-27",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "SKWARCAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ASSISTANT CHIEF",
        "authorized_official_telephone_number": "574-235-9257",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000185333",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100286930A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2693941",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH BEND FIRE DEPT. EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam Joseph Cien, D.O.
• Wendi Ciesielska, APRN
• Mori Ciesiolka
• Fatema Lynn Cischke, COTA
• Paige E Cisna, NP
• Deborah Kay Clardy, L.M.H.C.
• Jayla Clark, LMCHA
• Kara Clark, RBT
• Ron Clark, M.D.
• Rose Clark

• All providers in South Bend, IN
• Land Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.