Provider Demographics
NPI:1689670309
Name:CITY OF NEW ALBANY
Entity Type:Organization
Organization Name:CITY OF NEW ALBANY
Other - Org Name:NEW ALBANY FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-948-5314
Mailing Address - Street 1:316 E SPRING ST
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-3425
Mailing Address - Country:US
Mailing Address - Phone:812-948-5311
Mailing Address - Fax:812-948-5313
Practice Address - Street 1:316 E SPRING ST
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-3425
Practice Address - Country:US
Practice Address - Phone:812-948-5311
Practice Address - Fax:812-948-5313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-27
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0194341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN791590403OtherRAIL ROAD MEDICARE
IN100463560AMedicaid
IN791590403OtherRAIL ROAD MEDICARE