NPI 1295064954
Portage Township St Joe Co
Practice location
- Address
- 54911 Quince Rd, South Bend, IN 46628-4587
- Phone
- (574) 228-5724
- Fax
- (336) 791-0196
Authorised official
- Name
- Jason Critchlow
- Title
- Trustee
- Phone
- (574) 233-2126
Registered specialties
Land Ambulance
Primary
Registry record
- NPI
- 1295064954
- Entity type
- Organization
- NPI issued
- 9 Dec 2009
- Record last updated
- 4 Sep 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.