Healthcare Provider Details

I. General information

NPI: 1407619117
Provider Name (Legal Business Name): HIGHLANDER FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2024
Last Update Date: 05/25/2025
Certification Date: 05/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4002 SCOTTSVILLE RD
FLOYDS KNOBS IN
47119-9328
US

IV. Provider business mailing address

PO BOX 503024
INDIANAPOLIS IN
46250-8024
US

V. Phone/Fax

Practice location:
  • Phone: 812-923-8003
  • Fax:
Mailing address:
  • Phone: 173-849-6628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
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: BRANDON ALEXANDER
Title or Position: MEDICAL OFFICER
Credential:
Phone: 812-786-4987