Organization · Type 2 NPI

Portage Township ST Joe Co

Land Ambulance · South Bend, IN

NPI number 1295064954 Active

Practice location

54911 Quince Rd
South Bend, IN 46628-4587

Fax (336) 791-0196

Specialties and licenses

TaxonomyCodeLicense
Land Ambulance Primary 3416L0300XNone listed

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About NPI 1295064954

Portage Township ST Joe Co's National Provider Identifier is 1295064954, issued on Dec 9, 2009. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in South Bend, IN. The record was last updated on Sep 4, 2025.