Provider Demographics
NPI:1336382555
Name:LA CROSSE VOLUNTEER FIRE DEPARTMENT,INC.
Entity Type:Organization
Organization Name:LA CROSSE VOLUNTEER FIRE DEPARTMENT,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-754-2121
Mailing Address - Street 1:PO BOX 178
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:IN
Mailing Address - Zip Code:46348-0178
Mailing Address - Country:US
Mailing Address - Phone:219-754-2121
Mailing Address - Fax:219-754-2512
Practice Address - Street 1:100 S. WASHINGTON ST.
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:IN
Practice Address - Zip Code:46348-0178
Practice Address - Country:US
Practice Address - Phone:219-754-2121
Practice Address - Fax:219-754-2512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN09523416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport