Provider Demographics
NPI:1619097912
Name:GERMAN TWP FD
Entity Type:Organization
Organization Name:GERMAN TWP FD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLLING DEPT.
Authorized Official - Prefix:MISS
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-793-8141
Mailing Address - Street 1:209 S ARMSTRONG ST
Mailing Address - Street 2:
Mailing Address - City:CROTHERSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47229-1601
Mailing Address - Country:US
Mailing Address - Phone:812-793-8141
Mailing Address - Fax:812-793-2319
Practice Address - Street 1:9428 MAIN ST
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47280-9700
Practice Address - Country:US
Practice Address - Phone:812-526-5858
Practice Address - Fax:812-526-9958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07653416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000314443OtherANTHEM PIN #
IN000000314443OtherANTHEM PIN #