Provider Demographics
NPI:1174767875
Name:MIAMI TOWNSHIP VOLUNTEER FIRE DEPARTMENT
Entity type:Organization
Organization Name:MIAMI TOWNSHIP VOLUNTEER FIRE DEPARTMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:JARED
Authorized Official - Middle Name:
Authorized Official - Last Name:WISELEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-753-4261
Mailing Address - Street 1:PO BOX 1
Mailing Address - Street 2:
Mailing Address - City:NEW WAVERLY
Mailing Address - State:IN
Mailing Address - Zip Code:46961-0001
Mailing Address - Country:US
Mailing Address - Phone:574-753-4261
Mailing Address - Fax:574-516-1014
Practice Address - Street 1:113 CEDAR STREET
Practice Address - Street 2:
Practice Address - City:NEW WAVERLY
Practice Address - State:IN
Practice Address - Zip Code:46961-0001
Practice Address - Country:US
Practice Address - Phone:574-753-4261
Practice Address - Fax:574-516-1014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-24
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251V00000X251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable