Healthcare Provider Details

I. General information

NPI: 1780058230
Provider Name (Legal Business Name): TOWN OF WHITESTOWN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2015
Last Update Date: 07/13/2022
Certification Date: 07/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 S INDIANAPOLIS RD
WHITESTOWN IN
46075-9515
US

IV. Provider business mailing address

PO BOX 56002
INDIANAPOLIS IN
46256-0002
US

V. Phone/Fax

Practice location:
  • Phone: 317-732-4600
  • 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 StateIN

VIII. Authorized Official

Name: JOSHUA SHANE WESTRICH
Title or Position: FIRE CHIEF
Credential:
Phone: 317-775-6753