Provider Demographics
NPI:1174032668
Name:PIPE CREEK TOWNSHIP
Entity type:Organization
Organization Name:PIPE CREEK TOWNSHIP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMS CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HIBST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-620-1110
Mailing Address - Street 1:208 S ANDERSON ST STE A
Mailing Address - Street 2:
Mailing Address - City:ELWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46036-2059
Mailing Address - Country:US
Mailing Address - Phone:765-552-0871
Mailing Address - Fax:
Practice Address - Street 1:208 S ANDERSON ST STE A
Practice Address - Street 2:
Practice Address - City:ELWOOD
Practice Address - State:IN
Practice Address - Zip Code:46036-2059
Practice Address - Country:US
Practice Address - Phone:765-552-0871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance