Provider Demographics
NPI:1922184860
Name:DUBLIN VOLUNTEER FIRE DEPARTMENT, INC.
Entity Type:Organization
Organization Name:DUBLIN VOLUNTEER FIRE DEPARTMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-478-1266
Mailing Address - Street 1:PO BOX 61
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:IN
Mailing Address - Zip Code:47335-0061
Mailing Address - Country:US
Mailing Address - Phone:765-478-1266
Mailing Address - Fax:
Practice Address - Street 1:2248 E CUMBERLAND STREET
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:IN
Practice Address - Zip Code:47335-0061
Practice Address - Country:US
Practice Address - Phone:765-478-1266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN09173416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN249050Medicare PIN