Organization · Type 2 NPI

City of Portage

Land Ambulance · Portage, IN

NPI number 1306965223 Active

Practice location

3401 Swanson Rd
Portage, IN 46368-4822

Call (219) 762-7784 Map

Fax (219) 763-9607

Mailing address

PO Box 2122
Riverview, MI 48193-1122

Specialties and licenses

Taxonomy	Code	License
Land Ambulance Primary	3416L0300X	0066 (IN)

Land Ambulance: Definition to come...

NPI record

NPI: 1306965223
Entity type: Organization (Type 2)
Issued: Mar 29, 2007
Last updated: Mar 1, 2024
Status: Active

Other names

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Portage Fire Department Ambulance · doing business as
Portage Fire Department Ambulance · doing business as

Authorized official

Roy Johnson
Ems Chief of Operations
(219) 707-7711

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1306965223

City of Portage's National Provider Identifier is 1306965223, issued on Mar 29, 2007. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Portage, IN. The record was last updated on Mar 1, 2024.