Provider Demographics
NPI:1043338999
Name:ABOITE TOWNSHIP FIRE DEPT IN
Entity type:Organization
Organization Name:ABOITE TOWNSHIP FIRE DEPT IN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ABOITE TOWNSHIP TRUSTEE
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:KRISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-432-0970
Mailing Address - Street 1:11321 ABOITE CENTER RD
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46814-5472
Mailing Address - Country:US
Mailing Address - Phone:260-432-0970
Mailing Address - Fax:260-436-9747
Practice Address - Street 1:11321 ABOITE CENTER RD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46814
Practice Address - Country:US
Practice Address - Phone:260-432-0970
Practice Address - Fax:260-436-9747
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABOITE CIVIL TOWNSHIP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-27
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0303341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100288330AMedicaid
IN985900Medicare PIN
IN100288330AMedicaid