LAKES OF THE FOUR SEASONS VOLUNTEER FIRE FORCE, INC. (NPI# 1700990322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700990322 |
| Entity Type | Organization |
| Organization Name | LAKES OF THE FOUR SEASONS VOLUNTEER FIRE FORCE, INC. |
| Practice Address |
745 W 275 S Hebron IN 46341-9712 |
| Mailing Address |
10645 Randolph Street, Suite D Crown Point IN 46307 |
| Practice Telephone | 2196627576 |
| Practice Fax Number | 2196621281 |
| Mailing Telephone | 2196627576 |
| Mailing Fax Number | 2196621281 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2019-03-25 |
| Authorized Official Name | JEREMY LES CAMPBELL (FIRE CHIEF) |
| Authorized Official Telephone | 2196627576 |
| Authorized Official Credential | EMT-PARAMEDIC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146N00000X | Emergency Medical Technician, Basic | 0438 | IN | Emergency Medical Service Providers |
| N | 146L00000X | Emergency Medical Technician, Paramedic | 0438 | IN | Emergency Medical Service Providers |
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
0438 | IN | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200210910A | 05 | |
| IN | BCBS | 187328 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10645 Randolph St Lbby D, Crown Point, IN 463077677 | 2196627576 | 2196627030 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LAKES OF THE FOUR SEASONS VOLUNTEER FIRE FORCE, INC., THE | 10645 Randolph St Ste D, Crown Point, IN 46307-7677 |
| Street Address |
745 W 275 S |
| City | HEBRON |
| State | IN |
| Zip Code | 46341-9712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023352895 | Judy Lynn Sholes | Physical Therapy Assistant | 14020 North County Line Road, Hebron, IN 46341 | 2012-11-19 |
| 1104175702 | Lowell Dentistry, P.C. | Dentist | 195 Deanna Dr., Lowell, IN 46341-2402 | 2012-08-29 |
| 1871909473 | Helen Kilburg | Social Worker | 114 Wenatchee Pl, Hebron, IN 46341-7204 | 2014-07-03 |
| 1720387533 | Erma J Galvin | Social Worker | 104 W Church St, Hebron, IN 46341-8558 | 2011-03-18 |
| 1699890103 | Robert W Moses Od Professional Corp. | Eyewear Supplier (Equipment, not the service) | 618 N Main St, Suite A, Hebron, IN 46341-8710 | 2007-03-21 |
| 1689698292 | Carla K Brink | Dentist | 56 Nichols St, Hebron, IN 46341-8774 | 2006-07-27 |
| 1134124118 | Select Medical Rehabilitation Clinics Inc | Clinic/Center | 50 Nichols St, Hebron, IN 46341-8774 | 2005-06-16 |
| 1528674942 | Rci (wrs), LLC. | Clinic/Center | 50 Nichols St, Hebron, IN 46341-8774 | 2020-09-21 |
| 1326571027 | Carla K. Brink, D.d.s., P.C. | Dentist | 56 Nichols St, Hebron, IN 46341-8774 | 2017-04-10 |
| 1942632906 | Katelyn Stahley | Physical Therapist | 50 Nichols St, Hebron, IN 46341-8774 | 2013-08-01 |
| Find all providers in zip 46341 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225041486 | City of Hebron | Ambulance | 5th & Jefferson, Hebron, NE 68370 | 2006-08-15 |
| 1578587838 | Hebron Alden Greenwood Fire Protection District | Ambulance | 12302 Illinois Route 173, Box 345, Hebron, IL 60034 | 2006-07-27 |
| 1306897822 | Kenton County Airport Board | Ambulance | 81 Clay Drive, Hebron, KY 41048 | 2006-05-12 |
| 1497385603 | Refugee-canyon Joint Fire District | Ambulance | 111 Basin St, Hebron, OH 43025-6000 | 2020-01-16 |
| 1639109069 | Hebron Volunteer Fire Department Incorporated | Ambulance | 300 Main St, Hebron, MD 21830 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922648781 | Center-jackson Township Fire Territory Corporation | Ambulance | 11216 E State Road 54, Bloomfield, IN 47424-6073 | 2020-01-09 |
| 1518503721 | Olive Township St Joseph County | Ambulance | 204 E. Michigan, New Carlisle, IN 46552 | 2019-11-22 |
| 1871146365 | City of Muncie | Ambulance | 300 N High St, Muncie, IN 47305-1639 | 2019-07-23 |
| 1063987824 | Norwood Enterprises, LLC | Ambulance | 1256 E 86th Pl, Merrillville, IN 46410-6338 | 2018-10-09 |
| 1619472081 | Stoney Creek Township Madison County | Ambulance | 8871 W 200 S, Lapel, IN 46051-9712 | 2018-03-28 |
| 1710492939 | Phoenix Paramedic Solutions, LLC | Ambulance | 1600 Kepner Dr Ste E, Lafayette, IN 47905-7436 | 2017-12-11 |
| 1174035570 | Blue Angel Ems, LLC | Ambulance | 8250 E 95th Pl, Crown Point, IN 46307-9464 | 2017-10-26 |
| 1275050023 | City of Logansport | Ambulance | 630 High St, Logansport, IN 46947-2767 | 2017-08-23 |
| 1689191462 | West Point Volunteer Fire Association, Inc | Ambulance | 4949 St. Rd. 25 South, West Point, IN 47992-0071 | 2017-08-23 |
| 1861918849 | Corey Simmons | Ambulance | 3659 N Temple Ave, Indianapolis, IN 46218 | 2017-08-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.