Provider Demographics
NPI:1568242915
Name:TOWN OF FRENCH LICK
Entity Type:Organization
Organization Name:TOWN OF FRENCH LICK
Other - Org Name:SPRINGS VALLEY FIRE DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:EMS CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:COREY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:812-620-6223
Mailing Address - Street 1:7949 W HUNTERS RUN DR
Mailing Address - Street 2:
Mailing Address - City:FRENCH LICK
Mailing Address - State:IN
Mailing Address - Zip Code:47432-8315
Mailing Address - Country:US
Mailing Address - Phone:812-936-4737
Mailing Address - Fax:
Practice Address - Street 1:8589 W MAIN ST
Practice Address - Street 2:
Practice Address - City:FRENCH LICK
Practice Address - State:IN
Practice Address - Zip Code:47432-1000
Practice Address - Country:US
Practice Address - Phone:812-620-6223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-03
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance