Provider Demographics
NPI:1578554416
Name:PARAGON VOLUNTEER FIRE COMPANY
Entity Type:Organization
Organization Name:PARAGON VOLUNTEER FIRE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:DOTSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-537-9304
Mailing Address - Street 1:PO BOX 225
Mailing Address - Street 2:
Mailing Address - City:PARAGON
Mailing Address - State:IN
Mailing Address - Zip Code:46166-0225
Mailing Address - Country:US
Mailing Address - Phone:765-537-9304
Mailing Address - Fax:765-537-2993
Practice Address - Street 1:101 E UNION
Practice Address - Street 2:
Practice Address - City:PARAGON
Practice Address - State:IN
Practice Address - Zip Code:46166
Practice Address - Country:US
Practice Address - Phone:765-537-9304
Practice Address - Fax:765-537-2993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-31
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN988560Medicare PIN