Healthcare Provider Details

I. General information

NPI: 1730267931
Provider Name (Legal Business Name): SCOTT TOWNSHIP VOLUNTEER FIRE DEPARTMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 05/22/2024
Certification Date: 05/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 E BASELINE RD
EVANSVILLE IN
47725-8582
US

IV. Provider business mailing address

PO BOX 747
WHEELING IL
60090-0747
US

V. Phone/Fax

Practice location:
  • Phone: 812-867-6761
  • Fax:
Mailing address:
  • Phone: 800-244-2345
  • Fax: 800-329-5274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0348
License Number StateIN

VIII. Authorized Official

Name: MR. ADAM FARRAR
Title or Position: CHIEF
Credential:
Phone: 317-775-6753