Healthcare Provider Details

I. General information

NPI: 1801071584
Provider Name (Legal Business Name): WALNUT TOWNSHIP VOLUNTEER FIRE DEPTARTMENT, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2007
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 E STATE ST
NEW ROSS IN
47968-8501
US

IV. Provider business mailing address

PO BOX 501368
INDIANAPOLIS IN
46250-6368
US

V. Phone/Fax

Practice location:
  • Phone: 765-723-2289
  • Fax:
Mailing address:
  • Phone: 317-849-6628
  • Fax: 317-849-6632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KYLE MCHARGUE
Title or Position: CHIEF
Credential:
Phone: 317-775-6753