Provider Demographics
NPI:1629195227
Name:AMO VOLUNTEER FIRE DEPT INC
Entity Type:Organization
Organization Name:AMO VOLUNTEER FIRE DEPT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-775-6753
Mailing Address - Street 1:PO BOX 502250
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-7250
Mailing Address - Country:US
Mailing Address - Phone:317-775-6753
Mailing Address - Fax:317-849-6632
Practice Address - Street 1:4543 W COUNTY ROAD 500 S
Practice Address - Street 2:
Practice Address - City:AMO
Practice Address - State:IN
Practice Address - Zip Code:46103-7711
Practice Address - Country:US
Practice Address - Phone:317-775-6753
Practice Address - Fax:317-849-6632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0193146N00000X, 341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes341600000XTransportation ServicesAmbulance
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000202075OtherANTHEM
IN986710Medicare ID - Type Unspecified