Provider Demographics
NPI:1245623909
Name:EEL RIVER TOWNSHIP FIRE RESCUE INC
Entity type:Organization
Organization Name:EEL RIVER TOWNSHIP FIRE RESCUE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JODI
Authorized Official - Middle Name:
Authorized Official - Last Name:BONDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-676-6425
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:NORTH SALEM
Mailing Address - State:IN
Mailing Address - Zip Code:46165-0009
Mailing Address - Country:US
Mailing Address - Phone:765-676-6425
Mailing Address - Fax:765-676-9627
Practice Address - Street 1:607 WEST PEARL STREET
Practice Address - Street 2:
Practice Address - City:NORTH SALEM
Practice Address - State:IN
Practice Address - Zip Code:46165
Practice Address - Country:US
Practice Address - Phone:765-676-6425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-05
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05073416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport