Civil City of Lake Station Ind
Civil City of Lake Station Ind is a Land Ambulance in Lake Station, Indiana. Licensed in Indiana. Registered with an NPI since 2006.
- Licensed in
- IN
- In the registry since
- 2006
Practice location Address checks out
1876 Fairview AveLake Station, IN 46405
Phone: (219) 962-8295
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Land Ambulance (primary) | Taxonomy 3416L0300X · Licence 0291 (IN) |
|---|
Record details
| NPI number | 1336214493 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charles Fazekas — Fire Chief · (219) 945-6629 |
| Other names | City Of Lake Station |
| NPI enumerated | November 22, 2006 |
| Last updated in NPPES | June 6, 2024 |
| Certification date | June 6, 2024 |
| Mailing address | 1969 Central Ave, Lake Station, IN 46405-2059 |