Provider Demographics
NPI:1861721060
Name:THORNTOWN/SUGAR CREEK TWP. VOLUNTEER FIRE DEPARTMENT
Entity type:Organization
Organization Name:THORNTOWN/SUGAR CREEK TWP. VOLUNTEER FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MIKE
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-627-8928
Mailing Address - Street 1:101 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:THORNTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:46071-1127
Mailing Address - Country:US
Mailing Address - Phone:317-627-8928
Mailing Address - Fax:765-436-7900
Practice Address - Street 1:101 W MAIN ST
Practice Address - Street 2:
Practice Address - City:THORNTOWN
Practice Address - State:IN
Practice Address - Zip Code:46071-1127
Practice Address - Country:US
Practice Address - Phone:317-627-8928
Practice Address - Fax:765-436-7900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-17
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)