Organization
CORPORATE TOWN OF ELLETTSVILLE FIRE DEPT.
Active
Other names
Ellettsville Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D CORNMAN (DEPUTY FIRE CHIEF)
(812) 876-4819
Entity
Organization
Contact information
Practice address
5080 W STATE ROAD 46, BLOOMINGTON, IN 47404-9695
(812) 876-4819
(812) 876-0178
Mailing address
5080 W STATE ROAD 46, BLOOMINGTON, IN 47404-9695
(812) 876-4819
(812) 876-0178
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1034
IN
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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