Provider Demographics
NPI:1245699909
Name:EAST ENTERPRISE VOLUNTEER FIRE DEPARTMENT INCORPORATED
Entity type:Organization
Organization Name:EAST ENTERPRISE VOLUNTEER FIRE DEPARTMENT INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:YOCUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-534-2752
Mailing Address - Street 1:PO BOX 35
Mailing Address - Street 2:
Mailing Address - City:EAST ENTERPRISE
Mailing Address - State:IN
Mailing Address - Zip Code:47019-0035
Mailing Address - Country:US
Mailing Address - Phone:812-534-2752
Mailing Address - Fax:
Practice Address - Street 1:2121 HIGHWAY 56
Practice Address - Street 2:
Practice Address - City:EAST ENTERPRISE
Practice Address - State:IN
Practice Address - Zip Code:47019-0035
Practice Address - Country:US
Practice Address - Phone:812-534-2752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport