# TIPPECANOE TOWNSHIP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Webster Tippecanoe Township EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124151550
- **Authorized official:** JEREMY LIKENS (CHIEF)
- **Authorized official phone:** (574) 457-5507

## Contact information

- **Practice address:** 202 N. MAIN ST., NORTH WEBSTER, IN 46555-9999
- **Practice address phone:** (574) 834-7676
- **Mailing address:** PO BOX 392907, PITTSBURGH, PA 15251
- **Mailing address phone:** (800) 962-1484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 0205 | IN | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 05/20/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100281970A | — | IN |
| 01 | — | 590009202 | MEDICARE ID | IN |
