Provider Demographics
NPI:1841528668
Name:GREENWOOD FIRE DEPARTMENT
Entity type:Organization
Organization Name:GREENWOOD FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIVSION CHIEF EMS
Authorized Official - Prefix:
Authorized Official - First Name:DARIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOGGATT
Authorized Official - Suffix:
Authorized Official - Credentials:MS, NREMTP
Authorized Official - Phone:317-882-2599
Mailing Address - Street 1:155 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-1356
Mailing Address - Country:US
Mailing Address - Phone:317-882-2599
Mailing Address - Fax:317-887-5627
Practice Address - Street 1:155 E MAIN ST
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-1356
Practice Address - Country:US
Practice Address - Phone:317-882-2599
Practice Address - Fax:317-887-5627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-07
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0112341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance