Organization
CITY OF WHITING
Active
Organization
CITY OF WHITING
Active
Other names
Whiting Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HAYNES (CLERK-TREAS)
(219) 659-3100
Entity
Organization
Contact information
Practice address
1916 SCHRAGE AVENUE, WHITING, IN 46394-2007
(219) 659-1069
(219) 473-7572
Mailing address
PO BOX 230, 1443 119TH STREET, WHITING, IN 46394-1742
(219) 659-3100
(219) 473-4452
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0151
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000274237
ANTHEM
IN
05
—
100290460A
—
IN
Enumeration date
11/22/2006
Last updated
12/11/2017
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