Provider Demographics
NPI:1467781617
Name:SCIPIO TOWNSHIP VOLUNTEER FIRE DEPARTMENT
Entity Type:Organization
Organization Name:SCIPIO TOWNSHIP VOLUNTEER FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:FENSTERMAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-210-7800
Mailing Address - Street 1:PO BOX 1991
Mailing Address - Street 2:1105 WEST 250 SOUTH
Mailing Address - City:LA PORTE
Mailing Address - State:IN
Mailing Address - Zip Code:46352-1991
Mailing Address - Country:US
Mailing Address - Phone:219-325-8280
Mailing Address - Fax:
Practice Address - Street 1:1105 W. 250 SOUTH
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:IN
Practice Address - Zip Code:46352-1991
Practice Address - Country:US
Practice Address - Phone:219-325-8280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-17
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable