Organization
EVERTON VOLUNTEER FIRE DEPARTMENT INCORPORATED
Active
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
Update your record
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