Provider Demographics
NPI:1851092357
Name:WEST CENTRAL FIRE DISTRICT
Entity type:Organization
Organization Name:WEST CENTRAL FIRE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:TEEGUARDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-760-3874
Mailing Address - Street 1:11321 ABOITE CENTER RD
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46814-5472
Mailing Address - Country:US
Mailing Address - Phone:260-436-1449
Mailing Address - Fax:
Practice Address - Street 1:11321 ABOITE CENTER RD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46814-5472
Practice Address - Country:US
Practice Address - Phone:260-436-1449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport