Provider Demographics
NPI:1497084552
Name:NORTH WEBSTER / TIPPECANOE TWP. FIRE DEPT
Entity Type:Organization
Organization Name:NORTH WEBSTER / TIPPECANOE TWP. FIRE DEPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHEIF
Authorized Official - Prefix:MR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:LIKENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-834-7676
Mailing Address - Street 1:PO BOX 292
Mailing Address - Street 2:
Mailing Address - City:NORTH WEBSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46555-0292
Mailing Address - Country:US
Mailing Address - Phone:574-834-7676
Mailing Address - Fax:574-834-5668
Practice Address - Street 1:202 NORTH MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH WEBSTER
Practice Address - State:IN
Practice Address - Zip Code:46555-0202
Practice Address - Country:US
Practice Address - Phone:574-834-7676
Practice Address - Fax:574-834-5668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-18
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance