Healthcare Provider Details

I. General information

NPI: 1558443564
Provider Name (Legal Business Name): CITY OF BEECH GROVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 ALBANY ST
BEECH GROVE IN
46107-1534
US

IV. Provider business mailing address

PO BOX 502250
INDIANAPOLIS IN
46250-7250
US

V. Phone/Fax

Practice location:
  • Phone: 317-808-5603
  • Fax: 317-780-5490
Mailing address:
  • Phone: 317-849-6628
  • Fax: 173-849-6632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number0012
License Number StateIN

VIII. Authorized Official

Name: ROBERT CHESHIRE
Title or Position: FIRE CHIEF
Credential:
Phone: 317-775-6753