Provider Demographics
NPI:1255653283
Name:DEPUTY VOLUNTEER FIRE COMPANY, INC.
Entity Type:Organization
Organization Name:DEPUTY VOLUNTEER FIRE COMPANY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENNT
Authorized Official - Prefix:MR
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAZELWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-866-5439
Mailing Address - Street 1:PO BOX 135
Mailing Address - Street 2:
Mailing Address - City:DEPUTY
Mailing Address - State:IN
Mailing Address - Zip Code:47230-0135
Mailing Address - Country:US
Mailing Address - Phone:812-866-9465
Mailing Address - Fax:812-866-9465
Practice Address - Street 1:14275 W. MULBERRY ST.
Practice Address - Street 2:
Practice Address - City:DEPUTY
Practice Address - State:IN
Practice Address - Zip Code:47230
Practice Address - Country:US
Practice Address - Phone:812-866-9465
Practice Address - Fax:812-866-9465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-18
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)