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Organization

CORPORATE TOWN OF ELLETTSVILLE FIRE DEPT.

Active
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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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