Provider Demographics
NPI:1952410144
Name:NEW WASHINGTON VOLUNTEER FIRE INC
Entity Type:Organization
Organization Name:NEW WASHINGTON VOLUNTEER FIRE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:COCHRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-293-4114
Mailing Address - Street 1:PO BOX 589
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42431-5011
Mailing Address - Country:US
Mailing Address - Phone:270-824-8123
Mailing Address - Fax:270-824-8140
Practice Address - Street 1:23511 HWY 62
Practice Address - Street 2:
Practice Address - City:NEW WASHINGTON
Practice Address - State:IN
Practice Address - Zip Code:47162
Practice Address - Country:US
Practice Address - Phone:812-293-4114
Practice Address - Fax:812-293-3311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02263416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00144580OtherRRMC PTAN
IN000000333823OtherANTHEM
IN200510140AMedicaid
IN=========OtherTRICARE
IN=========OtherTRICARE