# TOWN OF CHESTERFIELD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chesterfield-Union Twp Emergency Svcs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861619116
- **Authorized official:** MR. JAMES MICHAEL PHILLIPS (PRESIDENT)
- **Authorized official phone:** (765) 610-8970

## Contact information

- **Practice address:** 207 E MAIN ST, CHESTERFIELD, IN 46017-1336
- **Practice address phone:** (765) 378-7255
- **Mailing address:** PO BOX 279, CHESTERFIELD, IN 46017-0279
- **Mailing address phone:** (765) 644-2039
- **Mailing address fax:** (765) 648-4985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 48-0051 | IN | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 22000000198949 | ANTHEM | IN |