Provider Demographics
NPI:1548599012
Name:SPARTA TOWNSHIP FIRE DEPARTMENT
Entity type:Organization
Organization Name:SPARTA TOWNSHIP FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HEINTZELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-856-4555
Mailing Address - Street 1:201 WATER ST
Mailing Address - Street 2:PO BOX 306
Mailing Address - City:CROMWELL
Mailing Address - State:IN
Mailing Address - Zip Code:46732-1126
Mailing Address - Country:US
Mailing Address - Phone:260-856-4555
Mailing Address - Fax:260-856-2211
Practice Address - Street 1:201 WATER ST
Practice Address - Street 2:
Practice Address - City:CROMWELL
Practice Address - State:IN
Practice Address - Zip Code:46732-1126
Practice Address - Country:US
Practice Address - Phone:260-856-4555
Practice Address - Fax:260-856-2211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-12
Last Update Date:2009-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance