Provider Demographics
NPI:1346579059
Name:MONROE TWP. / COWAN VOLUNTEER FIRE DEPARTMENT, INC.
Entity Type:Organization
Organization Name:MONROE TWP. / COWAN VOLUNTEER FIRE DEPARTMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-744-4737
Mailing Address - Street 1:9407 S OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47302-9526
Mailing Address - Country:US
Mailing Address - Phone:765-282-0199
Mailing Address - Fax:765-282-8785
Practice Address - Street 1:9407 S OLIVE ST
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47302-9526
Practice Address - Country:US
Practice Address - Phone:765-282-0199
Practice Address - Fax:765-282-8785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-09
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0095343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)