Healthcare Provider Details

I. General information

NPI: 1801125612
Provider Name (Legal Business Name): BARGERSVILLE COMMUNITY FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2009
Last Update Date: 06/20/2022
Certification Date: 06/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3991 N STATE ROAD 135
FRANKLIN IN
46131-8380
US

IV. Provider business mailing address

PO BOX 56002
INDIANAPOLIS IN
46256-0002
US

V. Phone/Fax

Practice location:
  • Phone: 317-422-5187
  • Fax: 317-422-1762
Mailing address:
  • Phone: 317-775-6751
  • Fax: 317-775-6751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1043
License Number StateIN

VIII. Authorized Official

Name: ERIC FUNKHOUSER
Title or Position: FIRE CHIEF
Credential:
Phone: 317-775-6753