Organization
WHITELAND VOLUNTEER FIRE DEPARTMENT
Active
Organization
WHITELAND VOLUNTEER FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN CABENAGH (EMS DIRECTOR)
(317) 775-6753
Entity
Organization
Contact information
Practice address
141 S STATE ST, WHITELAND, IN 46184-1638
(317) 535-8280
(317) 535-6703
Mailing address
PO BOX 2915, ELKHART, IN 46515-2915
(574) 293-3030
(574) 294-1345
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0517
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000363309
ANTHEM
IN
05
—
200225610A
—
IN
01
—
P00431704
RRMC PTAN
—
Enumeration date
09/20/2006
Last updated
08/01/2019
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