Provider Demographics
NPI:1265666226
Name:SUNMAN RURAL FIRE DEPARTMENT, INC
Entity Type:Organization
Organization Name:SUNMAN RURAL FIRE DEPARTMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-623-2498
Mailing Address - Street 1:621 N MERIDIAN ST
Mailing Address - Street 2:PO 396
Mailing Address - City:SUNMAN
Mailing Address - State:IN
Mailing Address - Zip Code:47041
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:621 N MERIDIAN ST
Practice Address - Street 2:PO 396
Practice Address - City:SUNMAN
Practice Address - State:IN
Practice Address - Zip Code:47041
Practice Address - Country:US
Practice Address - Phone:812-623-2498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN10993416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport