Healthcare Provider Details

I. General information

NPI: 1275443806
Provider Name (Legal Business Name): FALL CREEK TOWNSHIP HENRY CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

653 LOCUST ST
MIDDLETOWN IN
47356-1436
US

IV. Provider business mailing address

PO BOX 501368
INDIANAPOLIS IN
46250-6368
US

V. Phone/Fax

Practice location:
  • Phone: 765-354-2281
  • 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: PHILLIP CHANDLER
Title or Position: FIRE CHIEF
Credential:
Phone: 317-775-6753