Provider Demographics
NPI:1841529567
Name:HARRISON TOWNSHIP FIRE DEPARTMENT
Entity type:Organization
Organization Name:HARRISON TOWNSHIP FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLUS
Authorized Official - Middle Name:
Authorized Official - Last Name:CABLE
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:574-875-5600
Mailing Address - Street 1:63061 COUNTY ROAD 13
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:IN
Mailing Address - Zip Code:46526-7106
Mailing Address - Country:US
Mailing Address - Phone:574-875-5600
Mailing Address - Fax:574-875-5600
Practice Address - Street 1:63061 COUNTY ROAD 13
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:IN
Practice Address - Zip Code:46526-7106
Practice Address - Country:US
Practice Address - Phone:574-875-5600
Practice Address - Fax:574-875-5600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0636341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance