Organization
WHEATFIELD AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY NICHOLAS CHAVEZ (EMS DIRECTOR)
(219) 956-4865
Entity
Organization
Contact information
Practice address
490 E GROVE ST, WHEATFIELD, IN 46392
(219) 956-4865
(219) 956-4994
Mailing address
PO BOX 362, WHEATFIELD, IN 46392-0362
(219) 956-4865
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0373
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000237787
ANTHEM
IN
05
—
100289520A
—
IN
01
—
590008776
RAILROAD MEDICARE
—
Enumeration date
08/05/2006
Last updated
04/29/2025
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