Provider Demographics
NPI:1417190026
Name:MORRIS FIREMAN'S ASSOCIATION, INC
Entity Type:Organization
Organization Name:MORRIS FIREMAN'S ASSOCIATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:J
Authorized Official - Last Name:MERKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-934-5414
Mailing Address - Street 1:PO BOX 13
Mailing Address - Street 2:
Mailing Address - City:MORRIS
Mailing Address - State:IN
Mailing Address - Zip Code:47033-0013
Mailing Address - Country:US
Mailing Address - Phone:812-934-5414
Mailing Address - Fax:812-934-5414
Practice Address - Street 1:4702 CHURCH ST.
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47006
Practice Address - Country:US
Practice Address - Phone:812-934-5414
Practice Address - Fax:812-934-5414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-13
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN11503416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport