Healthcare Provider Details

I. General information

NPI: 1861634347
Provider Name (Legal Business Name): LAFAYETTE TOWNSHIP FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2009
Last Update Date: 02/20/2023
Certification Date: 02/20/2023
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 51
FLOYDS KNOBS IN
47119-0051
US

V. Phone/Fax

Practice location:
  • Phone: 812-923-8003
  • Fax: 812-923-1961
Mailing address:
  • Phone: 812-923-8003
  • Fax: 812-923-1961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0131
License Number StateIN

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: 812-923-8003