Healthcare Provider Details

I. General information

NPI: 1841246998
Provider Name (Legal Business Name): PIKE TOWNSHIP TRUSTEES OFFICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 08/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4881 W 71ST ST
INDIANAPOLIS IN
46268-2149
US

IV. Provider business mailing address

PO BOX 502596
INDIANAPOLIS IN
46250-7596
US

V. Phone/Fax

Practice location:
  • Phone: 317-347-5860
  • Fax:
Mailing address:
  • Phone: 317-849-6628
  • Fax: 317-849-6632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: ARTHUR J BOREL III
Title or Position: FIRE CHIEF
Credential:
Phone: 317-775-6753