Organization
NEW WASHINGTON VOLUNTEER FIRE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON COCHRAN (FIRE CHIEF)
(812) 293-4114
Entity
Organization
Contact information
Practice address
23511 HWY 62, NEW WASHINGTON, IN 47162
(812) 293-4114
(812) 293-3311
Mailing address
PO BOX 589, MADISONVILLE, KY 42431-5011
(270) 824-8123
(270) 824-8140
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0226
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000333823
ANTHEM
IN
05
—
200510140A
—
IN
01
—
P00144580
RRMC PTAN
—
Enumeration date
08/30/2006
Last updated
03/17/2018
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