Provider Demographics
NPI:1942539051
Name:FREELANDVILLE VOL. FIRE DEPT.
Entity Type:Organization
Organization Name:FREELANDVILLE VOL. FIRE DEPT.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-881-8475
Mailing Address - Street 1:13.5 HIGHWAY 159 SOUTH
Mailing Address - Street 2:
Mailing Address - City:FREELANDVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47535-2222
Mailing Address - Country:US
Mailing Address - Phone:812-328-2222
Mailing Address - Fax:812-328-2222
Practice Address - Street 1:13.5 HIGHWAY 159 SOUTH
Practice Address - Street 2:
Practice Address - City:FREELANDVILLE
Practice Address - State:IN
Practice Address - Zip Code:47535-2222
Practice Address - Country:US
Practice Address - Phone:812-328-2222
Practice Address - Fax:812-328-2222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-18
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance