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NPI Code Detail

MEDICARE: POE VOLUNTEER FIRE DEPARTMENT INC

MEDICARE: POE VOLUNTEER FIRE DEPARTMENT INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13416L0300XLand Ambulance0321IN

General Provider Information

NPI Number : 1326077231
Entity Type Code : Organization
Provider Name (Legal Business Name) : POE VOLUNTEER FIRE DEPARTMENT INC
Provider Business Mailing Address
First Line : PO BOX 501368
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-6368
Country : US
Telephone Number : 317-775-6751
Fax Number : 317-849-6632
Provider Business Practice Location Address
First Line : 3619 E YODER RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46819-9794
Country : US
Telephone Number : 260-639-3992
Fax Number :
Authorized Official
Title or Position : FIRE CHIEF
Name : PAUL VONBANK
Credential :
Telephone Number : 317-775-6753
Provider Enumeration Date : 07/02/2006
Last Update Date : 08/01/2019

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Directions to “POE VOLUNTEER FIRE DEPARTMENT INC ” Practice Location

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