Provider Demographics
NPI:1285963660
Name:GAS CITY FIRE RESCUE
Entity type:Organization
Organization Name:GAS CITY FIRE RESCUE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ROY
Authorized Official - Middle Name:
Authorized Official - Last Name:EIB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-618-8675
Mailing Address - Street 1:211 EAST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:GAS CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46933
Mailing Address - Country:US
Mailing Address - Phone:765-677-3086
Mailing Address - Fax:765-677-3082
Practice Address - Street 1:401 S 1ST ST
Practice Address - Street 2:
Practice Address - City:GAS CITY
Practice Address - State:IN
Practice Address - Zip Code:46933-1726
Practice Address - Country:US
Practice Address - Phone:765-677-3086
Practice Address - Fax:765-677-3082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-15
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1140OtherBLS NON-TRANSPORT