Organization
BROWNSBURG CLERK TREASURER
Active
Other names
Brownsburg Fire Territory
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE COPE (EMS MANAGER)
(317) 858-4140
Entity
Organization
Contact information
Practice address
470 EAST NORTHFIELD DRIVE, BROWNSBURG, IN 46112-2113
(317) 858-4140
(317) 852-1119
Mailing address
470 EAST NORTHFIELD DRIVE, BROWNSBURG, IN 46112-2113
(317) 858-4140
(317) 852-1119
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0191
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000176614
ANTHEM PROVIDER NUMBER
IN
05
—
100286630A
—
IN
Enumeration date
10/31/2005
Last updated
06/29/2009
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