Provider Demographics
NPI:1235468794
Name:THORNCREEK TOWNSHIP VOLUNTEER FIRE DEPARTMENT OF WHITLEY COUNTY
Entity Type:Organization
Organization Name:THORNCREEK TOWNSHIP VOLUNTEER FIRE DEPARTMENT OF WHITLEY COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER, TTVFD
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:DWAIN
Authorized Official - Last Name:BALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-691-3832
Mailing Address - Street 1:821 E 500 N
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46725-7746
Mailing Address - Country:US
Mailing Address - Phone:260-691-9117
Mailing Address - Fax:260-691-2201
Practice Address - Street 1:821 E 500 N
Practice Address - Street 2:
Practice Address - City:COLUMBIA CITY
Practice Address - State:IN
Practice Address - Zip Code:46725-7746
Practice Address - Country:US
Practice Address - Phone:260-691-9117
Practice Address - Fax:260-691-2201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-12
Last Update Date:2009-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0682341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance