Organization
LIZTON UNION TOWNSHIP HENDRICKS COUNTY INDIANA VOLUNTEER FIRE DEPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN JOSEPH (ASSISTANT CHIEF)
(317) 775-6753
Entity
Organization
Contact information
Practice address
101 E. MAIN ST., LIZTON, IN 46149
(317) 994-5400
(317) 994-5761
Mailing address
PO BOX 502250, INDIANAPOLIS, IN 46250-7250
(317) 849-6628
(317) 849-6632
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3416LO300X
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000229184
ANTHEM BLUE CROSS
IN
01
—
1542121
MEDICARE
IN
Enumeration date
03/20/2007
Last updated
01/24/2024
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