Healthcare Provider Details

I. General information

NPI: 1801019112
Provider Name (Legal Business Name): GASTON VOLUNTEER FIRE DEPT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 N. SYCAMORE ST
GASTON IN
47342-8007
US

IV. Provider business mailing address

PO BOX 56002
INDIANAPOLIS IN
46256-0002
US

V. Phone/Fax

Practice location:
  • Phone: 765-358-3104
  • Fax:
Mailing address:
  • Phone: 317-849-6628
  • Fax: 317-849-6632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number0316
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0316
License Number StateIN

VIII. Authorized Official

Name: MR. ANDREW STORIE
Title or Position: FIRE CHIEF
Credential:
Phone: 317-775-6753