Healthcare Provider Details

I. General information

NPI: 1942065685
Provider Name (Legal Business Name): MONROE FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2024
Last Update Date: 03/27/2024
Certification Date: 03/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3953 S KENNEDY DR
BLOOMINGTON IN
47401-9619
US

IV. Provider business mailing address

PO BOX 50890
INDIANAPOLIS IN
46250-0890
US

V. Phone/Fax

Practice location:
  • Phone: 812-331-1906
  • Fax:
Mailing address:
  • Phone: 317-849-6628
  • Fax: 317-849-6632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW BRIGHT
Title or Position: DEPUTY CHIEF OF EMS
Credential:
Phone: 317-775-6753