Provider Demographics
NPI:1821360876
Name:LAKE HILLS VOLUNTEER FIRE DEPARTMENT INC.
Entity Type:Organization
Organization Name:LAKE HILLS VOLUNTEER FIRE DEPARTMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WILKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-365-3340
Mailing Address - Street 1:9105 W 85TH AVE
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-2518
Mailing Address - Country:US
Mailing Address - Phone:219-365-3340
Mailing Address - Fax:219-365-3523
Practice Address - Street 1:9105 W 85TH AVE
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-2518
Practice Address - Country:US
Practice Address - Phone:219-365-3340
Practice Address - Fax:219-365-3523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-07
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0462341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport