Provider Demographics
NPI:1255573838
Name:PLEASANT TWP. FIRE DEPT
Entity type:Organization
Organization Name:PLEASANT TWP. FIRE DEPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:KENT
Authorized Official - Middle Name:D
Authorized Official - Last Name:TRICKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-982-8745
Mailing Address - Street 1:10459 N OGDEN ROAD
Mailing Address - Street 2:P O BOX 195
Mailing Address - City:LAKETON
Mailing Address - State:IN
Mailing Address - Zip Code:46943-0195
Mailing Address - Country:US
Mailing Address - Phone:260-982-8745
Mailing Address - Fax:260-982-6685
Practice Address - Street 1:10459 N OGDEN ROAD
Practice Address - Street 2:
Practice Address - City:LAKETON
Practice Address - State:IN
Practice Address - Zip Code:46943-0195
Practice Address - Country:US
Practice Address - Phone:260-982-8745
Practice Address - Fax:260-982-6685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-30
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1090251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable