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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