Organization 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
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0438 Issued in IN
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200210910AMedicaidIN
187328OtherINBCBS

Other names 1

  • Lakes of the Four Seasons Volunteer Fire Force, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040727000698 IN Part B Supplier - Ambulance Service Supplier 6901876143 Practice locations: Crown Point, IN; Hebron, IN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.