Healthcare Provider Details

I. General information

NPI: 1174240436
Provider Name (Legal Business Name): LAWRENCE COUNTY FIRE TERRITORY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2022
Last Update Date: 02/09/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1327 SUNNY ACRES DR
BEDFORD IN
47421-4742
US

IV. Provider business mailing address

PO BOX 415000 MSC 8013
NASHVILLE TN
37241-8013
US

V. Phone/Fax

Practice location:
  • Phone: 812-583-6845
  • Fax: 812-279-1381
Mailing address:
  • Phone: 317-849-6628
  • Fax: 317-849-6632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT BROWN
Title or Position: FIRE CHIEF
Credential:
Phone: 317-775-6753