Provider Demographics
NPI:1154650711
Name:VAN BUREN TOWNSHIP FIRE DEPARTMENT
Entity Type:Organization
Organization Name:VAN BUREN TOWNSHIP FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:CHUCK
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-825-9500
Mailing Address - Street 1:2130 S KIRBY RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47403-9235
Mailing Address - Country:US
Mailing Address - Phone:812-825-9500
Mailing Address - Fax:812-825-9700
Practice Address - Street 1:2130 S KIRBY RD
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47403-9235
Practice Address - Country:US
Practice Address - Phone:812-825-9500
Practice Address - Fax:812-825-9700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0468343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)