Provider Demographics
NPI:1053640243
Name:JACKSON TOWNSHIP FIRE FEPARTMENT
Entity Type:Organization
Organization Name:JACKSON TOWNSHIP FIRE FEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-984-3443
Mailing Address - Street 1:PO BOX 552
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:IN
Mailing Address - Zip Code:46030-0552
Mailing Address - Country:US
Mailing Address - Phone:317-984-3443
Mailing Address - Fax:317-984-5565
Practice Address - Street 1:508 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:IN
Practice Address - Zip Code:46030-0552
Practice Address - Country:US
Practice Address - Phone:317-984-3443
Practice Address - Fax:317-984-5565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-17
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0513341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance