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Organization

ST JOSEPH COUNTY - HARRIS CIVIL TOWNSHIP

Active
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Organization

ST JOSEPH COUNTY - HARRIS CIVIL TOWNSHIP

Active
Other names
Harris Civil Township Fire Department
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN VANCE (FIRE CHIEF)
(574) 272-7861
Entity
Organization

Contact information

Practice address
13981 STATE ROAD 23, GRANGER, IN 46530-7596
(574) 272-7861
(574) 272-1108
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-7967

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0433
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000361043
ANTHEM BCBS
IN
05
200103940A
IN
Enumeration date
07/29/2006
Last updated
06/17/2008
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