Active NPI
Lakes of the Four Seasons Volunteer Fire Force
Doing business as Lakes of the Four Seasons Volunteer Fire Force, Inc.
- Land Ambulance
- Hebron, IN
National Provider Identifier
1700990322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0438
- Legal business name
- LAKES OF THE FOUR SEASONS VOLUNTEER FIRE FORCE
- Doing business as
- Lakes of the Four Seasons Volunteer Fire Force, Inc.
- Practice address
- 745 W 275 S
Hebron, IN 46341-9712 - Phone
- (219) 662-7576
- Fax
- (219) 662-1281
- NPI assigned
- Aug 19, 2006
- Last updated
- Jun 18, 2026
- 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
- Kevin Heerema
- Title
- Fire Chief
- Phone
- (219) 662-7576
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 0438 | IN | |
| Basic Emergency Medical Technician | 146N00000X | 0438 | IN | |
| Land Ambulance | 3416L0300X | 0438 | IN | Primary |
Addresses
Primary practice location
745 W 275 S
Hebron, IN 46341-9712
Mailing address
745 W 275 S
Hebron, IN 46341-9712
Phone (219) 662-7576
Other practice location 1
10645 Randolph St Lbby D
Crown Point, IN 46307-7677
Phone (219) 662-7576
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200210910A | Medicaid | IN | |
| 187328 | Other | IN | BCBS |
Other names 1
- Lakes of the Four Seasons Volunteer Fire Force, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040727000698 | IN | Part B Supplier - Ambulance Service Supplier | 6901876143 | Practice locations: Crown Point, IN; Hebron, IN |
National Provider Directory
National Provider DirectoryLocations
10645 Randolph St
Crown Point, IN 46307
Phone (219) 662-7576
10645 Randolph St
Lbby D
Crown Point, IN 46307
Phone (219) 662-7576
745 W 275 S
Hebron, IN 46341
Phone (219) 662-7576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781740800000",
"number": "1700990322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 W 275 S",
"city": "HEBRON",
"state": "IN",
"postal_code": "463419712",
"telephone_number": "219-662-7576",
"fax_number": "219-662-1281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 W 275 S",
"city": "HEBRON",
"state": "IN",
"postal_code": "463419712",
"telephone_number": "219-662-7576",
"fax_number": "219-662-1281"
}
],
"practiceLocations": [
{
"address_1": "10645 Randolph St Lbby D",
"address_purpose": "LOCATION",
"city": "Crown Point",
"state": "IN",
"postal_code": "463077677",
"country_code": "US",
"telephone_number": "219-662-7576",
"fax_number": "219-662-7030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LAKES OF THE FOUR SEASONS VOLUNTEER FIRE FORCE",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-19",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A",
"authorized_official_last_name": "HEEREMA",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "219-662-7576"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "IN",
"license": "0438",
"primary": false
},
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "IN",
"license": "0438",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IN",
"license": "0438",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200210910A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "187328",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lakes of the Four Seasons Volunteer Fire Force, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hebron, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.