Provider Demographics
NPI:1154030336
Name:CLARKS HILL-LAURAMIE VOLUNTEER FIRE DEPARTMENT, INC
Entity type:Organization
Organization Name:CLARKS HILL-LAURAMIE VOLUNTEER FIRE DEPARTMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-412-0478
Mailing Address - Street 1:PO BOX 296
Mailing Address - Street 2:
Mailing Address - City:CLARKS HILL
Mailing Address - State:IN
Mailing Address - Zip Code:47930-0296
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9401 WHITE STREET
Practice Address - Street 2:
Practice Address - City:CLARKS HILL
Practice Address - State:IN
Practice Address - Zip Code:47930-0296
Practice Address - Country:US
Practice Address - Phone:765-523-2252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport