Provider Demographics
NPI:1871831206
Name:SHIRLEY VOLUNTEER FIRE DEPARTMENT INC
Entity Type:Organization
Organization Name:SHIRLEY VOLUNTEER FIRE DEPARTMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOREA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-775-6753
Mailing Address - Street 1:PO BOX 50890
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-0890
Mailing Address - Country:US
Mailing Address - Phone:317-849-6628
Mailing Address - Fax:
Practice Address - Street 1:212 MAIN STREET
Practice Address - Street 2:
Practice Address - City:SHIRLEY
Practice Address - State:IN
Practice Address - Zip Code:47384-9687
Practice Address - Country:US
Practice Address - Phone:765-738-6590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-18
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0672341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance