Healthcare Provider Details

I. General information

NPI: 1548599442
Provider Name (Legal Business Name): BEECH GROVE FIRE DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2009
Last Update Date: 08/03/2023
Certification Date: 08/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 ALBANY ST
BEECH GROVE IN
46107-1534
US

IV. Provider business mailing address

806 MAIN ST
BEECH GROVE IN
46107-1516
US

V. Phone/Fax

Practice location:
  • Phone: 317-782-4940
  • Fax: 317-782-4952
Mailing address:
  • Phone: 317-782-4940
  • Fax: 317-782-4952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number490012
License Number StateIN

VIII. Authorized Official

Name: JAMES R PIERCE II
Title or Position: CHIEF
Credential:
Phone: 317-775-6753