Provider Demographics
NPI:1649509142
Name:CITY OF KENDALLVILLE FIRE DEPARTMENT
Entity type:Organization
Organization Name:CITY OF KENDALLVILLE FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIEHM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-347-5010
Mailing Address - Street 1:304 E NORTH ST
Mailing Address - Street 2:
Mailing Address - City:KENDALLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46755-1128
Mailing Address - Country:US
Mailing Address - Phone:260-347-5010
Mailing Address - Fax:260-347-7035
Practice Address - Street 1:304 E NORTH ST
Practice Address - Street 2:
Practice Address - City:KENDALLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46755-1128
Practice Address - Country:US
Practice Address - Phone:260-347-5010
Practice Address - Fax:260-347-7035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-11
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)