=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023127206
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CITY OF NEW CASTLE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/30/2006
-----------------------------------------------------
Last Update Date | 04/16/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 432 BROAD ST
-----------------------------------------------------
City | NEW CASTLE
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47362-4848
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 765-521-6860
-----------------------------------------------------
Fax | 765-521-6657
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 392907
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15251-9907
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-962-1484
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EMS CHIEF
-----------------------------------------------------
Name | BRIAN CLARK
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 765-521-6860
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number | 0100
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------