NPI 1003868548
Portage Township Porter County
Practice location
- Address
- 398 W 700 N, Valparaiso, IN 46385
- Phone
- (219) 759-3919
- Fax
- (219) 759-8068
- Mailing address
- PO Box 429, Lewisville, NC 27023-0429
Authorised official
- Name
- Brenda Clancy
- Title
- Trustee
- Phone
- (219) 762-1623
Registered specialties
Ambulance
Primary
Registry record
- NPI
- 1003868548
- Entity type
- Organization
- NPI issued
- 16 May 2006
- Record last updated
- 4 Aug 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.