Organization
CLEVELAND TOWNSHIP VOLUNTEER FIRE DEPARTMENT INC
Active
Organization
CLEVELAND TOWNSHIP VOLUNTEER FIRE DEPARTMENT INC
Active
Other names
Cleveland Township Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES S PRENTKOWSKI (ASSISTANT CHIEF/TREASURER)
(574) 264-5443
Entity
Organization
Contact information
Practice address
29515 COUNTY ROAD 6, ELKHART, IN 46514-9513
(574) 264-5443
(574) 206-9483
Mailing address
29515 COUNTY ROAD 6, ELKHART, IN 46514-9513
(574) 264-5443
(574) 206-9483
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1004
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000179156
ANTHEM BCBS
IN
05
—
200248450A
—
IN
01
—
590014219
RR MEDICARE
IN
Enumeration date
07/15/2006
Last updated
02/10/2023
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