MEDICARE: CITY OF BEECH GROVE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	0012	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000189738	OTHER	IN	BCBS

General Provider Information

NPI Number	:	1558443564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF BEECH GROVE

Provider Business Mailing Address
First Line	:	PO BOX 502250
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-7250
Country	:	US
Telephone Number	:	317-849-6628
Fax Number	:	173-849-6632

Provider Business Practice Location Address
First Line	:	1202 ALBANY ST
Second Line	:
City	:	BEECH GROVE
State	:	IN
Zip	:	46107-1534
Country	:	US
Telephone Number	:	317-808-5603
Fax Number	:	317-780-5490

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	RODNEY HAMM
Credential	:
Telephone Number	:	317-775-6753

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	06/12/2026

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Directions to “CITY OF BEECH GROVE ” Practice Location

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