Healthcare Provider Details

I. General information

NPI: 1386642288
Provider Name (Legal Business Name): CARTHAGE VOLUNTEER FIRE DEPARTMENT OF RUSH COUNTY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 04/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 S MAIN ST
CARTHAGE IN
46115-9629
US

IV. Provider business mailing address

836 4TH AVE.
HUNTINGTON WV
25701
US

V. Phone/Fax

Practice location:
  • Phone: 765-565-1234
  • Fax: 765-565-6433
Mailing address:
  • Phone: 800-676-4785
  • Fax: 304-522-4222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number387
License Number StateIN

VIII. Authorized Official

Name: BOYD DUNCAN
Title or Position: CHIEF
Credential:
Phone: 765-565-1234