City of Hammond

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0172 Issued in IN

Legal business name

CITY OF HAMMOND

Practice address

6110 Calumet Ave
Hammond, IN 46320-2525

Phone

(219) 853-6418

Fax

(219) 853-6319

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Jeffrey Michael Marsack, PARAMEDIC

Title

Assistant Chief EMS Coordinator

Phone

(219) 853-6418

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1700828142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2122",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481931122",
            "telephone_number": "800-926-6985",
            "fax_number": "734-479-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 CALUMET AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463202525",
            "telephone_number": "219-853-6418",
            "fax_number": "219-853-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HAMMOND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MARSACK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "ASSISTANT CHIEF EMS COORDINATOR",
        "authorized_official_telephone_number": "219-853-6418",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ANTHEM",
            "identifier": "000000198672",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00172644",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yung-Neng Cheng, DDS
• Naina Chhokar, NP
• Suyin CHI, MD
• Asim Chughtai, M.D.
• Chie-Hong Chyung, MD
• Emerald Clark, CLC
• Claudia Blake
• CNS Personal Service Agency LLC
• Oreeanna Tishone Collins, LCSW
• Community Healthnet Inc

• Land Ambulance in Hammond, IN
• Providers in Hammond, IN by specialty
• Land Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.