# CASTLETON VOLUNTEER FIRE DEPT, INC.

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

## Provider details

- **NPI number:** 1720062839
- **Authorized official:** MICHAEL BLACKWELL FIRE CHIEF (FIRE CHIEF)
- **Authorized official phone:** (317) 845-4934

## Contact information

- **Practice address:** 6260 E 86TH ST, INDIANAPOLIS, IN 46250-1571
- **Practice address phone:** (317) 845-4933
- **Practice address fax:** (317) 845-4930
- **Mailing address:** 973 N. SHADELAND AVENUE, \# 285, INDIANAPOLIS, IN 46219-4809
- **Mailing address phone:** (317) 849-6628
- **Mailing address fax:** (317) 849-6632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 0412 | IN | Yes |

## Other

- **Enumeration date:** 12/01/2005
- **Last updated:** 02/02/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000183639 | BCBS PROV NUMBER | IN |
| 05 | — | 100288510A | — | IN |
| 01 | — | 590000849 | RR MEDICARE NUMBER | IN |