Provider Demographics
NPI:1841529971
Name:VAN BUREN TWP. VOLUNTEER FIRE DEPT.
Entity type:Organization
Organization Name:VAN BUREN TWP. VOLUNTEER FIRE DEPT.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-595-0784
Mailing Address - Street 1:PO BOX 317
Mailing Address - Street 2:
Mailing Address - City:STAR CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46985-0317
Mailing Address - Country:US
Mailing Address - Phone:574-595-7180
Mailing Address - Fax:
Practice Address - Street 1:5784 S JUDSON ST
Practice Address - Street 2:
Practice Address - City:STAR CITY
Practice Address - State:IN
Practice Address - Zip Code:46985-9119
Practice Address - Country:US
Practice Address - Phone:574-595-7180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance