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Organization
CASTLETON VOLUNTEER FIRE DEPT, INC.
Active
Organization
CASTLETON VOLUNTEER FIRE DEPT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BLACKWELL FIRE CHIEF (FIRE CHIEF)
(317) 845-4934
Entity
Organization
Contact information
Practice address
6260 E 86TH ST, INDIANAPOLIS, IN 46250-1571
(317) 845-4933
(317) 845-4930
Mailing address
973 N. SHADELAND AVENUE, # 285, INDIANAPOLIS, IN 46219-4809
(317) 849-6628
(317) 849-6632
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0412
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000183639
BCBS PROV NUMBER
IN
05
—
100288510A
—
IN
01
—
590000849
RR MEDICARE NUMBER
IN
Enumeration date
12/01/2005
Last updated
02/02/2011
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