Provider Demographics
NPI:1700102118
Name:TOWN OF BURNS HARBOR
Entity Type:Organization
Organization Name:TOWN OF BURNS HARBOR
Other - Org Name:BURNS HARBOR FIRE DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:WILLAIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-787-8591
Mailing Address - Street 1:308 NAVAJO TRL
Mailing Address - Street 2:
Mailing Address - City:BURNS HARBOR
Mailing Address - State:IN
Mailing Address - Zip Code:46304-9775
Mailing Address - Country:US
Mailing Address - Phone:219-787-8591
Mailing Address - Fax:219-787-8199
Practice Address - Street 1:308 NAVAJO TRL
Practice Address - Street 2:
Practice Address - City:BURNS HARBOR
Practice Address - State:IN
Practice Address - Zip Code:46304-9775
Practice Address - Country:US
Practice Address - Phone:219-787-8591
Practice Address - Fax:219-787-8199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-09
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08063416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport