Provider Demographics
NPI:1063654887
Name:MILL TOWNSHIP VOLUNTEER FIRE DEPARTMENT
Entity Type:Organization
Organization Name:MILL TOWNSHIP VOLUNTEER FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:W
Authorized Official - Last Name:HEWITT
Authorized Official - Suffix:
Authorized Official - Credentials:NREMT-P
Authorized Official - Phone:765-661-5454
Mailing Address - Street 1:PO BOX 35
Mailing Address - Street 2:
Mailing Address - City:GAS CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46933-0035
Mailing Address - Country:US
Mailing Address - Phone:765-674-2500
Mailing Address - Fax:
Practice Address - Street 1:2113 E. OLD KOKOMO ROAD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IN
Practice Address - Zip Code:46953
Practice Address - Country:US
Practice Address - Phone:765-674-2500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05713416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport