Provider Demographics
NPI:1447225453
Name:CITY OF UNION CITY
Entity Type:Organization
Organization Name:CITY OF UNION CITY
Other - Org Name:UNION CITY FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CITY CLERK
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMSPAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-964-6534
Mailing Address - Street 1:105 N COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:IN
Mailing Address - Zip Code:47390-1429
Mailing Address - Country:US
Mailing Address - Phone:795-964-6534
Mailing Address - Fax:
Practice Address - Street 1:201 S HOWARD ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:IN
Practice Address - Zip Code:47390-1517
Practice Address - Country:US
Practice Address - Phone:765-964-4488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-22
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01053416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000207821OtherBC BS
590011375OtherRAILROAD MEDICARE
IN100281730AMedicaid
OH0267812Medicaid
IN000000207821OtherBC BS
OH0267812Medicaid