Provider Demographics
NPI:1528397320
Name:MARTINSVILLE FIRE DEPARTMENT
Entity Type:Organization
Organization Name:MARTINSVILLE FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-342-2343
Mailing Address - Street 1:160 W MORGAN ST
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46151-1448
Mailing Address - Country:US
Mailing Address - Phone:765-342-2343
Mailing Address - Fax:765-349-4915
Practice Address - Street 1:160 W MORGAN ST
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46151-1448
Practice Address - Country:US
Practice Address - Phone:765-342-2343
Practice Address - Fax:765-349-4915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN341600000XOtherFIRE DEPARTMENT