=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801019112
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GASTON VOLUNTEER FIRE DEPT, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/11/2007
-----------------------------------------------------
Last Update Date | 09/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 105 N. SYCAMORE ST
-----------------------------------------------------
City | GASTON
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47342-8007
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 765-358-3104
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 56002
-----------------------------------------------------
City | INDIANAPOLIS
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46256-0002
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-849-6628
-----------------------------------------------------
Fax | 317-849-6632
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FIRE CHIEF
-----------------------------------------------------
Name | MR. ANDREW STORIE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 317-775-6753
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 341600000X
-----------------------------------------------------
Taxonomy Name | Ambulance
-----------------------------------------------------
License Number | 0316
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number | 0316
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------