Portage Fire Department Ambulance

LBN: City Of Portage
Portage Fire Department Ambulance is an health care organization with primary practice located at 3401 Swanson Rd , Portage IN 46368-4822. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. City Of Portage can be contacted via phone (219) 762-7784, or through Johnson, Roy via phone (219) 707-7711.

Contact Information

Primary practice address
3401 Swanson Rd Portage IN 46368-4822
Phone: (219) 762-7784
Fax: (219) 763-9607
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Roy
Phone: (219) 707-7711

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 0066 Indiana

Profile Details

NPI number 1306965223
LBN Legal business name City Of Portage
DBA Doing business as Portage Fire Department Ambulance
Authorized official Johnson, Roy
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2007
Last updated Mar 1st, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306965223 NPPES
Indiana MEDICAID 100271470A
Indiana Other 000000234636
Indiana Other 590164506

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