Provider Demographics
NPI:1548335805
Name:DYER VOLUNTEER FIRE DEPARTMENT
Entity type:Organization
Organization Name:DYER VOLUNTEER FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:THAD
Authorized Official - Middle Name:A
Authorized Official - Last Name:STUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-865-4226
Mailing Address - Street 1:2150 HART STREET
Mailing Address - Street 2:
Mailing Address - City:DYER
Mailing Address - State:IN
Mailing Address - Zip Code:46311
Mailing Address - Country:US
Mailing Address - Phone:219-865-4226
Mailing Address - Fax:219-865-1878
Practice Address - Street 1:2150 HART STREET
Practice Address - Street 2:
Practice Address - City:DYER
Practice Address - State:IN
Practice Address - Zip Code:46311
Practice Address - Country:US
Practice Address - Phone:219-865-4226
Practice Address - Fax:219-865-1878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN450779341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201950Medicare ID - Type Unspecified