Provider Demographics
NPI:1073118105
Name:SHARPSVILLE VOLUNTEER FIRE DEPT CORP
Entity Type:Organization
Organization Name:SHARPSVILLE VOLUNTEER FIRE DEPT CORP
Other - Org Name:SHARPSVILLE FIRE DEPARTMENT/EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:KINGERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-775-6753
Mailing Address - Street 1:PO BOX 56002
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-0002
Mailing Address - Country:US
Mailing Address - Phone:317-775-6753
Mailing Address - Fax:317-849-6632
Practice Address - Street 1:158 W VINE ST
Practice Address - Street 2:
Practice Address - City:SHARPSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46068-8927
Practice Address - Country:US
Practice Address - Phone:317-775-6753
Practice Address - Fax:317-849-6632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-04
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance