Healthcare Provider Details

I. General information

NPI: 1699468793
Provider Name (Legal Business Name): MORRISTOWN-HANOVER TOWNSHIP FIRE AND EMERGENCY MEDICAL BOARD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2023
Last Update Date: 06/21/2023
Certification Date: 06/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

422 W MAIN ST
MORRISTOWN IN
46161-9745
US

IV. Provider business mailing address

PO BOX 50890
INDIANAPOLIS IN
46250-0890
US

V. Phone/Fax

Practice location:
  • Phone: 317-775-6753
  • Fax:
Mailing address:
  • Phone: 317-849-6628
  • Fax: 317-849-6632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: STEVEN DAVIS
Title or Position: CHIEF
Credential:
Phone: 317-775-6753