SOUTH BEND FIRE DEPT. EMS
NPI 1629025713
Ambulance - Land Transport in South Bend, IN

Active since May 27, 2006CLIA 15D0674504 · Waiver
1222 S MICHIGAN ST, SOUTH BEND, IN 46601(574) 235-9250(574) 235-9071 Get Directions Write a Review

NPPES record last updated: March 24, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Bend Fire Dept. Ems NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH BEND FIRE DEPT. EMS (NPI 1629025713) is a healthcare organization registered as a land transport in South Bend, Indiana and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Todd L Skwarcan, Assistant Chief, as its authorized official.

NPPES Registry Identity

NPI1629025713
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCITY OF SOUTH BEND
Location Address1222 S MICHIGAN STSouth Bend, IN 46601-3430
Mailing Address1222 S Michigan StSouth Bend, IN 46601-3430 · (574) 235-9250 · Fax (574) 235-9071
Fax(574) 235-9071
Organization SubpartYes
Authorized OfficialTodd L SkwarcanAssistant Chief · (574) 235-9257
Enumeration DateMay 27, 2006
Last NPPES UpdateMarch 24, 2016
NPI 1629025713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License Licensed in IN · 0139
1222 S MICHIGAN ST, South Bend, IN 46601

Other Names 1

Doing Business AsSouth Bend Fire Dept. Ems

Other Identifiers 4

Other000000185333IN · Anthem Bcbs
Medicare ID-Type Unspecified985190IN
Medicaid100286930AIN
Medicaid2693941MI

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0674504

South Bend Fire Ems · South Bend, IN
Active · expires Aug 31, 2026
CLIA Number15D0674504
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAndrew J. Myer
Laboratory Phone(574) 235-9255
Laboratory LocationSouth Bend Fire Ems1222 S Michigan St, South Bend, IN 46601
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
9,547 services1,322 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
1,091 services752 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
964 services752 patients
Advanced life support, level 2 (als 2) A0433
Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.
14 services14 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is City Of South Bend's NPI number?

The NPI number for City Of South Bend is 1629025713. It was assigned to this organization in the NPPES registry on May 27, 2006. The provider is doing business as South Bend Fire Dept. Ems.

Where is City Of South Bend located?

City Of South Bend is located at 1222 S Michigan St, South Bend, IN 46601. The listed phone number is (574) 235-9250.

What is City Of South Bend's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does City Of South Bend hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0674504) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does City Of South Bend accept?

Health plans from Anthem Blue Cross and Blue Shield list City Of South Bend as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for City Of South Bend was last updated on March 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.