Provider Demographics
NPI:1447322334
Name:SOUTHWEST ALLEN COUNTY FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:SOUTHWEST ALLEN COUNTY FIRE PROTECTION DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:PATNOUDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-747-2938
Mailing Address - Street 1:12912 INDIANAPOLIS RD
Mailing Address - Street 2:
Mailing Address - City:YODER
Mailing Address - State:IN
Mailing Address - Zip Code:46798-9733
Mailing Address - Country:US
Mailing Address - Phone:260-747-2938
Mailing Address - Fax:260-747-5593
Practice Address - Street 1:12912 INDIANAPOLIS RD
Practice Address - Street 2:
Practice Address - City:YODER
Practice Address - State:IN
Practice Address - Zip Code:46798-9733
Practice Address - Country:US
Practice Address - Phone:260-747-2938
Practice Address - Fax:260-747-5593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02763416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200119880AMedicaid