Provider Demographics
NPI:1336936970
Name:WABASH CIVIL TOWNSHIP
Entity type:Organization
Organization Name:WABASH CIVIL TOWNSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIVISION CHIEF OF EMS
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HUFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-775-6753
Mailing Address - Street 1:PO BOX 503024
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-8024
Mailing Address - Country:US
Mailing Address - Phone:317-849-6628
Mailing Address - Fax:
Practice Address - Street 1:2899 KLONDIKE RD
Practice Address - Street 2:
Practice Address - City:WEST LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47906-5207
Practice Address - Country:US
Practice Address - Phone:765-463-6664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance