Provider Demographics
NPI:1447435516
Name:LAPEL STONY CREEK TOWNSHIP FIRE PROTECTION BOARD, INC.
Entity type:Organization
Organization Name:LAPEL STONY CREEK TOWNSHIP FIRE PROTECTION BOARD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE PROTECTION BRD PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:A
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-534-3157
Mailing Address - Street 1:PO BOX 792
Mailing Address - Street 2:
Mailing Address - City:LAPEL
Mailing Address - State:IN
Mailing Address - Zip Code:46051-0792
Mailing Address - Country:US
Mailing Address - Phone:765-534-3747
Mailing Address - Fax:765-534-3835
Practice Address - Street 1:21 E 9TH ST
Practice Address - Street 2:
Practice Address - City:LAPEL
Practice Address - State:IN
Practice Address - Zip Code:46051-0999
Practice Address - Country:US
Practice Address - Phone:765-534-3747
Practice Address - Fax:765-534-3835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0049341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance