Provider Demographics
NPI:1154325579
Name:CITY OF CARMEL
Entity Type:Organization
Organization Name:CITY OF CARMEL
Other - Org Name:CARMEL FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:FOREST
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-571-2600
Mailing Address - Street 1:210 VETERANS WAY
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-3391
Mailing Address - Country:US
Mailing Address - Phone:317-571-2786
Mailing Address - Fax:317-571-2615
Practice Address - Street 1:210 VETERANS WAY
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-3391
Practice Address - Country:US
Practice Address - Phone:317-571-2786
Practice Address - Fax:317-571-2615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-13
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01323416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200124160AMedicaid
IN200124160AMedicaid