# CITY OF LAWRENCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154307650
- **Authorized official:** ROBERT WALLACE (FIRE CHIEF)
- **Authorized official phone:** (317) 775-6753

## Contact information

- **Practice address:** 9001 E 59TH ST STE 302, INDIANAPOLIS, IN 46216-1036
- **Practice address phone:** (317) 549-4825
- **Practice address fax:** (317) 549-8671
- **Mailing address:** PO BOX 501368, INDIANAPOLIS, IN 46250-6368
- **Mailing address phone:** (317) 775-6751
- **Mailing address fax:** (317) 498-6632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 0196 | IN | Yes |
| 3416L0300X | Land Ambulance | — | NULL | — |

## Other

- **Enumeration date:** 12/16/2005
- **Last updated:** 08/07/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000186313 | BLUE CROSS BLUE SHIELD | IN |
| 05 | — | 100289300A | — | IN |
| 01 | — | 590002786 | RAILROAD MEDICARE | IN |
