Provider Demographics
NPI:1922648781
Name:EASTERN GREENE FIRE PROTECTION TERRITORY CORPORATION
Entity Type:Organization
Organization Name:EASTERN GREENE FIRE PROTECTION TERRITORY CORPORATION
Other - Org Name:CENTER-JACKSON TOWNSHIP FIRE TERRITORY CORPORATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:R
Authorized Official - Last Name:INMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-709-9445
Mailing Address - Street 1:11216 E STATE ROAD 54
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:47424-6073
Mailing Address - Country:US
Mailing Address - Phone:812-709-9445
Mailing Address - Fax:
Practice Address - Street 1:11216 E STATE ROAD 54
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:IN
Practice Address - Zip Code:47424-6073
Practice Address - Country:US
Practice Address - Phone:812-709-9445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-09
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport