Active NPI
Town of Cedar Lake
- Land Ambulance
- Cedar Lake, IN
National Provider Identifier
1962425090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- TOWN OF CEDAR LAKE
- Practice address
- 9430 W 133Rd Ave
Cedar Lake, IN 46303-9463 - Phone
- (219) 374-5961
- Fax
- (219) 374-5999
- NPI assigned
- Jul 26, 2006
- Organization subpart
- Yes
- Parent organization
- TOWN OF CEDAR LAKE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Nicholas Mager
- Title
- Fire Chief
- Phone
- (219) 374-5961
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
9430 W 133Rd Ave
Cedar Lake, IN 46303-9463
Mailing address
PO Box 459
Cedar Lake, IN 46303-0459
Phone (219) 374-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100281690A | Medicaid | IN | |
| 978580 | Other | IN | MEDICARE |
Other names 1
- Cedar Lake EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110907001112 | IN | Part B Supplier - Ambulance Service Supplier | 7911060850 | Practice locations: Cedar Lake, IN |
National Provider Directory
National Provider Directory- Part of
- Cedar Lake Ambulance SE
Locations
7408 Constitution Ave
Cedar Lake, IN 46303
Phone (219) 374-7000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770940800000",
"number": "1962425090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 459",
"city": "CEDAR LAKE",
"state": "IN",
"postal_code": "463030459",
"telephone_number": "219-374-7000",
"fax_number": "219-374-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9430 W 133RD AVE",
"city": "CEDAR LAKE",
"state": "IN",
"postal_code": "463039463",
"telephone_number": "219-374-5961",
"fax_number": "219-374-5999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF CEDAR LAKE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TOWN OF CEDAR LAKE",
"enumeration_date": "2006-07-26",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A",
"authorized_official_last_name": "MAGER",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "219-374-5961",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100281690A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "978580",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cedar Lake EMS",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Cedar Lake EMS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Cedar Lake, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.