Organization
EVERTON VOLUNTEER FIRE DEPARTMENT INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD RICHARD GRONNING (FIRE CHIEF)
(765) 265-1371
Entity
Organization
Contact information
Practice address
5495 S STATE ROAD 1, CONNERSVILLE, IN 47331-9448
(765) 825-3031
Mailing address
5495 S STATE ROAD 1, CONNERSVILLE, IN 47331-9448
(765) 825-3031
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21003
FDID
IN
Enumeration date
12/09/2009
Last updated
12/09/2009
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