Provider Demographics
NPI:1407098353
Name:CLAY COUNTY, PERRY TOWNSHIP VOLUNTEER FIRE DEPARTMENT, INC.
Entity Type:Organization
Organization Name:CLAY COUNTY, PERRY TOWNSHIP VOLUNTEER FIRE DEPARTMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-864-2468
Mailing Address - Street 1:500 S. CENTER ST.
Mailing Address - Street 2:
Mailing Address - City:CORY
Mailing Address - State:IN
Mailing Address - Zip Code:47846-9999
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:500 S. CENTER ST.
Practice Address - Street 2:
Practice Address - City:CORY
Practice Address - State:IN
Practice Address - Zip Code:47846-9999
Practice Address - Country:US
Practice Address - Phone:812-864-2672
Practice Address - Fax:812-864-2672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport