Organization Name: | FAIRVIEW PARK VOLUNTEER FIRE DEPARTMENT |
NPI Number: | 1013142595 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN KEITH MORRIS (A-EMT/ F.F. / EMS TRAINING OFFICER) |
Mailing Address: | 281 S Washington St Clinton |
State: | IN US |
Postal Code: | 478427010 |
Phone Number: | 7658327271 |
Fax Number: | |
NPI Enumeration Date: | 05/27/2009 |
NPI Last Update Date: | 05/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 1094 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |