MEDICARE: TOWN OF SCHERERVILLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	985420	IN

General Provider Information

NPI Number	:	1598769564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF SCHERERVILLE

Provider Business Mailing Address
First Line	:	10 E JOLIET ST
Second Line	:
City	:	SCHERERVILLE
State	:	IN
Zip	:	46375-2011
Country	:	US
Telephone Number	:	219-322-2599
Fax Number	:	219-865-5506

Provider Business Practice Location Address
First Line	:	1650 CLINE AVE
Second Line	:
City	:	SCHERERVILLE
State	:	IN
Zip	:	46375-2020
Country	:	US
Telephone Number	:	219-322-2599
Fax Number	:	219-865-5506

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	MR. JOSEPH KRUZAN
Credential	:
Telephone Number	:	219-322-4581

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	02/22/2012

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Directions to “TOWN OF SCHERERVILLE ” Practice Location

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