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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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