Organization Active NPI

Castleton Volunteer Fire Dept, Inc.

  • Ambulance
  • Indianapolis, IN
National Provider Identifier
1720062839
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0412 Issued in IN
Legal business name
CASTLETON VOLUNTEER FIRE DEPT, INC.
Practice address
6260 E 86TH St
Indianapolis, IN 46250-1571
Phone
(317) 845-4933
Fax
(317) 845-4930
NPI assigned
Dec 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Blackwell, FIRE CHIEF
Title
Fire Chief
Phone
(317) 845-4934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0412 IN Primary

Addresses

Primary practice location

6260 E 86TH St
Indianapolis, IN 46250-1571

Mailing address

973 N. Shadeland Avenue
# 285
Indianapolis, IN 46219-4809
Phone (317) 849-6628

Other identifiers 3

IdentifierTypeStateIssuer
000000183639OtherINBCBS PROV NUMBER
100288510AMedicaidIN
590000849OtherINRR MEDICARE NUMBER

National Provider Directory

National Provider Directory

Locations

973 N Shadeland Ave
#285
Indianapolis, IN 46219

6260 E 86th St
Indianapolis, IN 46250
Phone (317) 845-4933

973 N Shadeland Ave
Ste 285
Indianapolis, IN 46219

4455 McCoy St
Indianapolis, IN 46226
Phone (317) 319-4989

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1720062839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 N. SHADELAND AVENUE",
            "address_2": "# 285",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194809",
            "telephone_number": "317-849-6628",
            "fax_number": "317-849-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6260 E 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501571",
            "telephone_number": "317-845-4933",
            "fax_number": "317-845-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLETON VOLUNTEER FIRE DEPT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "317-845-4934",
        "authorized_official_credential": "FIRE CHIEF"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": "0412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV NUMBER",
            "identifier": "000000183639",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100288510A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE NUMBER",
            "identifier": "590000849",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.