French Lick Fire Dept Inc
Organization Active NPI Ambulance · French Lick, IN
NPI 1336919620 · NPPES record last updated Mar 3, 2024
Key facts
- NPI
- 1336919620
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- FRENCH LICK FIRE DEPT INC
- Practice address
- 8589 W Main St
French Lick, IN 47432-1000 - Phone
- (812) 620-6223
- NPI assigned
- Jan 8, 2024
- Organization subpart
- No
Authorized official
- Name
- Corey Scott Wells, PARAMEDIC
- Title
- EMS Chief
- Phone
- (812) 620-6223
Corporate family (same tax ID) 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240301000822 | IN | Part B Supplier - Ambulance Service Supplier | 7911342894 | Practice locations: French Lick, IN |
National Provider Directory
- Tax ID family
- French Lick Fire Dept Inc
Locations
8589 W Main St
French Lick, IN 47432
Phone (812) 620-6223
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Yes |
Addresses
Primary practice location
8589 W Main St
French Lick, IN 47432-1000
Mailing address
8589 W Main St
French Lick, IN 47432-1000
Other names
- Springs Valley Fire Department
Other providers in French Lick, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.