Thunderbird Fire Protection Territory

Organization Active NPI Land Ambulance · Farmersburg, IN

NPI 1215038286 · NPPES record last updated Oct 10, 2007

Key facts

NPI
1215038286
Entity type
Organization (NPI type 2)
Primary specialty
Land Ambulance 3416L0300X
License
1075 (IN)
Legal business name
THUNDERBIRD FIRE PROTECTION TERRITORY
Practice address
104 W Heap St
Farmersburg, IN 47850
Phone
(812) 696-2151
Fax
(812) 696-2151
NPI assigned
Sep 25, 2006
Organization subpart
No

Authorized official

Name
Mr. John L Quilliam Jr.
Title
Fire Chief
Phone
(812) 249-8196

National Provider Directory

Locations

3134 Mallard Cove Ln
Fort Wayne, IN 46804
Phone (260) 255-4770

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1075 IN Yes

Addresses

Primary practice location

104 W Heap St
Farmersburg, IN 47850

Mailing address

PO Box 457
Wheeling, IL 60090-0457
Phone (847) 577-8811

Other identifiers

IdentifierTypeStateIssuer
000000381756OtherINBCBS ANTHEM

Other providers in Farmersburg, IN

All providers in Farmersburg, IN · Land Ambulance in Indiana

Sources for this page

Verify at the official NPI Registry.