Provider Demographics
NPI:1952606030
Name:LAPEL STONY CREEK TOWNSHIP FIRE
Entity Type:Organization
Organization Name:LAPEL STONY CREEK TOWNSHIP FIRE
Other - Org Name:LAPEL STONY CREEK TOWNSHIP FIRE TERRITORY INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-534-3747
Mailing Address - Street 1:21 E 9TH ST
Mailing Address - Street 2:PO BOX 792
Mailing Address - City:LAPEL
Mailing Address - State:IN
Mailing Address - Zip Code:46051-9400
Mailing Address - Country:US
Mailing Address - Phone:765-534-3747
Mailing Address - Fax:
Practice Address - Street 1:21 E 9TH ST
Practice Address - Street 2:
Practice Address - City:LAPEL
Practice Address - State:IN
Practice Address - Zip Code:46051-9400
Practice Address - Country:US
Practice Address - Phone:765-534-3747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-20
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN00493416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport