Organization
TOWN OF CHESTERFIELD
Active
Other names
Chesterfield-Union Twp Emergency Svcs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MICHAEL PHILLIPS (PRESIDENT)
(765) 610-8970
Entity
Organization
Contact information
Practice address
207 E MAIN ST, CHESTERFIELD, IN 46017-1336
(765) 378-7255
Mailing address
PO BOX 279, CHESTERFIELD, IN 46017-0279
(765) 644-2039
(765) 648-4985
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
48-0051
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22000000198949
ANTHEM
IN
Enumeration date
04/19/2007
Last updated
08/22/2020
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