Organization
CIVIL CITY OF LAKE STATION IND
Active
Other names
City of Lake Station
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES FAZEKAS (FIRE CHIEF)
(219) 945-6629
Entity
Organization
Contact information
Practice address
1876 FAIRVIEW AVE, LAKE STATION, IN 46405
(219) 962-8295
Mailing address
1969 CENTRAL AVE, LAKE STATION, IN 46405-2059
(219) 962-2081
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0291
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000215119
ANTHEM
IN
05
—
200262890A
—
IN
Enumeration date
11/22/2006
Last updated
06/06/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us