Healthcare Provider Details

I. General information

NPI: 1154386845
Provider Name (Legal Business Name): DECATUR CIVIL TOWNSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 08/03/2023
Certification Date: 08/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5410 S HIGH SCHOOL RD
INDIANAPOLIS IN
46221-4044
US

IV. Provider business mailing address

5410 S HIGH SCHOOL RD
INDIANAPOLIS IN
46221-4044
US

V. Phone/Fax

Practice location:
  • Phone: 317-856-5400
  • Fax: 317-849-6632
Mailing address:
  • Phone: 317-856-5400
  • Fax: 317-849-6632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number0093
License Number StateIN

VIII. Authorized Official

Name: PASCAL ARNES
Title or Position: FIRE CHIEF
Credential:
Phone: 317-775-6753