Organization
CITY OF MONTICELLO
Active
Other names
Monticello Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN D BLAKE (ASSISTANT FIRE CHIEF)
(574) 583-3151
Entity
Organization
Contact information
Practice address
911 W SOUTH ST, MONTICELLO, IN 47960-4620
(800) 538-3151
Mailing address
120 W WASHINGTON STREET, MONTICELLO, IN 47960-2163
(800) 538-8278
(580) 628-2273
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1188
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000196155
BCBS PROVIDER NUMBER
IN
05
—
100281400A
—
IN
01
—
590164422
RAILROAD MEDICARE
IN
Enumeration date
10/26/2006
Last updated
07/30/2024
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