Organization
BRISTOL FIRE DEPT CORP
Active
Other names
Bristol Fire Dept
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FAY ANN KEMP PARAMEDIC (ADMINISTRATIVE)
(574) 848-4155
Entity
Organization
Contact information
Practice address
405 E ELKHART ST, BRISTOL, IN 46507-9206
(574) 848-4155
(574) 848-0459
Mailing address
405 E ELKHART ST, BRISTOL, IN 46507-9206
(574) 848-4155
(574) 848-0459
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0277
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100290570A
—
IN
Enumeration date
03/14/2007
Last updated
01/28/2010
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