Provider Demographics
NPI:1023634557
Name:ENGLEWOOD RURAL FIRE DEPARTMENT
Entity type:Organization
Organization Name:ENGLEWOOD RURAL FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANCE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:PARROTT
Authorized Official - Suffix:
Authorized Official - Credentials:AEMT
Authorized Official - Phone:423-435-4210
Mailing Address - Street 1:PO BOX 126
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37329-0126
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:107 CARROLL ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:TN
Practice Address - Zip Code:37329-3295
Practice Address - Country:US
Practice Address - Phone:423-887-7509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-20
Last Update Date:2020-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport