Healthcare Provider Details

I. General information

NPI: 1790597813
Provider Name (Legal Business Name): SCOTT TOWNSHIP TRUSTEE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2025
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 E BASELINE RD
EVANSVILLE IN
47725-8582
US

IV. Provider business mailing address

PO BOX 502250
INDIANAPOLIS IN
46250-7250
US

V. Phone/Fax

Practice location:
  • Phone: 812-435-6320
  • Fax: 812-435-7019
Mailing address:
  • Phone: 317-775-6753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ADAM FARRAR
Title or Position: FIRE CHIEF
Credential:
Phone: 317-775-6753