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NPI · 1336214493 · NPPES-sourced

Civil City Of Lake Station Ind

ActiveLand Ambulance
NPI Number
1336214493
Type 2 · Organisation
Taxonomy Code
3416L0300X
Contact
(219) 962-8295
License IN · 0291
Last Updated
Enumerated
Primary practice addressIN · 46405
1876 Fairview AveLake Station, IN 46405
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About this NPIWhat this record shows.

NPI 1336214493 is registered to Civil City Of Lake Station Ind, a healthcare organisation classified as "Land Ambulance" and located at 1876 Fairview Ave in Lake Station, Indiana. The organisation's authorised official is Charles Fazekas. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated

Beyond the registryWhat this record adds.

This record carries 2 secondary identifiers beyond the base NPI: Medicaid and other payer cross-references used by billers and credentialers, which the standard CMS NPPES lookup does not surface. It is enrolled in Medicare, linking to 1 PECOS enrollment record (with a public Medicare Enrollment ID) sourced from CMS, which the NPPES registry does not list. Within the directory it is one of 312 Land Ambulance providers on file in Indiana.

Source: CMS NPPES and PECOS public files. snapshot, refreshed monthly.

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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 000000215119IN· Issued by ANTHEM

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Civil City Of Lake Station Ind accepts. To confirm in-network status with your specific health plan, contact Civil City Of Lake Station Ind directly at (219) 962-8295.

Frequently asked

Yes. NPI 1336214493 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Land Ambulance is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (219) 962-8295.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Civil City Of Lake Station Ind is a Type-2 organisational NPI.

As of the latest monthly CMS NPPES snapshot, 312 Land Ambulance providers are registered in Indiana, and Civil City Of Lake Station Ind is one of them. The figure refreshes each month from the federal source.

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Quick facts

Provider typeOrganisation
Taxonomy3416L0300X
Last updated
Enumerated
StatusActive
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Same specialtyOther Land Ambulance providers in Indiana.

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