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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