Organization
CITY OF SOUTH BEND
Active
Parent organization
CITY OF SOUTH BEND
Other names
SOUTH BEND FIRE DEPT. EMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF SOUTH BEND
Authorized official
MR. TODD L SKWARCAN EMT-P (ASSISTANT CHIEF)
(574) 235-9257
Entity
Organization
Contact information
Practice address
1222 S MICHIGAN ST, SOUTH BEND, IN 46601-3430
(574) 235-9250
(574) 235-9071
Mailing address
1222 S MICHIGAN ST, SOUTH BEND, IN 46601-3430
(574) 235-9250
(574) 235-9071
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0139
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000185333
ANTHEM BCBS
IN
05
—
100286930A
—
IN
05
—
2693941
—
MI
Enumeration date
05/27/2006
Last updated
03/24/2016
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