Active NPI
Wheatfield Ambulance Service
- Land Ambulance
- Wheatfield, IN
National Provider Identifier
1891704342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0373
- Legal business name
- WHEATFIELD AMBULANCE SERVICE
- Practice address
- 490 E Grove St
Wheatfield, IN 46392 - Phone
- (219) 956-4865
- Fax
- (219) 956-4994
- NPI assigned
- Aug 5, 2006
- 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
- Casey Nicholas Chavez
- Title
- EMS Director
- Phone
- (219) 956-4865
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0373 | IN | Primary |
Addresses
Primary practice location
490 E Grove St
Wheatfield, IN 46392
Mailing address
PO Box 362
Wheatfield, IN 46392-0362
Phone (219) 956-4865
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590008776 | Other | RAILROAD MEDICARE | |
| 000000237787 | Other | IN | ANTHEM |
| 100289520A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080416000498 | IN | Part B Supplier - Ambulance Service Supplier | 3072691013 | Practice locations: Wheatfield, IN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745884800000",
"number": "1891704342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 362",
"city": "WHEATFIELD",
"state": "IN",
"postal_code": "463920362",
"telephone_number": "219-956-4865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 E GROVE ST",
"city": "WHEATFIELD",
"state": "IN",
"postal_code": "46392",
"telephone_number": "219-956-4865",
"fax_number": "219-956-4994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHEATFIELD AMBULANCE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A",
"authorized_official_last_name": "CHAVEZ",
"authorized_official_first_name": "CASEY",
"authorized_official_middle_name": "NICHOLAS",
"authorized_official_title_or_position": "EMS DIRECTOR",
"authorized_official_telephone_number": "219-956-4865"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IN",
"license": "0373",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590008776",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000237787",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100289520A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wheatfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.