Provider Demographics
NPI:1285394452
Name:LEAVENWORTH VOLUNTEER FIRE DEPARTMENT INC
Entity type:Organization
Organization Name:LEAVENWORTH VOLUNTEER FIRE DEPARTMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:LAHUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-267-9491
Mailing Address - Street 1:645 EAST ST
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:IN
Mailing Address - Zip Code:47137-0016
Mailing Address - Country:US
Mailing Address - Phone:812-267-9491
Mailing Address - Fax:812-267-9491
Practice Address - Street 1:645 EAST STREET
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:IN
Practice Address - Zip Code:47137
Practice Address - Country:US
Practice Address - Phone:812-267-9491
Practice Address - Fax:812-267-9491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-29
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance