Healthcare Provider Details

I. General information

NPI: 1033990106
Provider Name (Legal Business Name): CITY OF FISHERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2023
Last Update Date: 11/22/2023
Certification Date: 11/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8937 TECHNOLOGY DR
FISHERS IN
46038-2835
US

IV. Provider business mailing address

2 MUNICIPAL DR
FISHERS IN
46038-1574
US

V. Phone/Fax

Practice location:
  • Phone: 317-567-5045
  • Fax:
Mailing address:
  • Phone: 317-537-0500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MONICA HELTZ
Title or Position: HEALTH DEPARTMENT DIRECTOR
Credential:
Phone: 317-567-5108