Provider Demographics
NPI:1891024378
Name:FRANKLIN TOWNSHIP VOLUNTEER FIRE DEPARTMENT
Entity Type:Organization
Organization Name:FRANKLIN TOWNSHIP VOLUNTEER FIRE DEPARTMENT
Other - Org Name:LANESVILLE VOLUNTEER FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:COMBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-952-3868
Mailing Address - Street 1:7415 MAIN ST NE
Mailing Address - Street 2:
Mailing Address - City:LANESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47136-8617
Mailing Address - Country:US
Mailing Address - Phone:812-952-2323
Mailing Address - Fax:812-952-2323
Practice Address - Street 1:7415 MAIN ST NE
Practice Address - Street 2:
Practice Address - City:LANESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47136-8617
Practice Address - Country:US
Practice Address - Phone:812-952-2323
Practice Address - Fax:812-952-2323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-14
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)