HUNTERTOWN VOLUNTEER FIRE DEPARTMENT (NPI# 1396753075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396753075 |
| Entity Type | Organization |
| Organization Name | HUNTERTOWN VOLUNTEER FIRE DEPARTMENT |
| Practice Address |
3134 Mallard Cove Ln Fort Wayne IN 46804-2882 |
| Mailing Address |
15412 Lima Rd Huntertown IN 46748-9353 |
| Practice Telephone | 2604369495 |
| Practice Fax Number | 2604367235 |
| Mailing Telephone | 2604493696 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMES REID (FIRE CHIEF) |
| Authorized Official Telephone | 2604493696 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
0256 | IN | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000236327 | 01 |
| Street Address |
3134 MALLARD COVE LN |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-2882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639188378 | Hymera Emergency Response Team | Ambulance | 3134 Mallard Cove Ln, Fort Wayne, IN 46804-2882 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639188154 | Washington Civil Township | Ambulance | 1834 W Wallen Rd, Fort Wayne, IN 46818 | 2006-08-05 |
| 1326077231 | Poe Volunteer Fire Department Inc | Ambulance | 3619 E Yoder Rd, Fort Wayne, IN 46819-9794 | 2006-07-02 |
| 1861499139 | Three Rivers Ambulance Authority | Ambulance | 525 Hayden St, Fort Wayne, IN 46802-3550 | 2005-07-01 |
| 1033422522 | Aboite Civil Township | Ambulance | 11321 Aboite Center Rd, Fort Wayne, IN 46814-5472 | 2010-07-26 |
| 1639188378 | Hymera Emergency Response Team | Ambulance | 3134 Mallard Cove Ln, Fort Wayne, IN 46804-2882 | 2006-08-05 |
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| 1710492939 | Phoenix Paramedic Solutions, LLC | Ambulance | 1600 Kepner Dr Ste E, Lafayette, IN 47905-7436 | 2017-12-11 |
| 1174035570 | Blue Angel Ems, LLC | Ambulance | 8250 E 95th Pl, Crown Point, IN 46307-9464 | 2017-10-26 |
| 1275050023 | City of Logansport | Ambulance | 630 High St, Logansport, IN 46947-2767 | 2017-08-23 |
| 1689191462 | West Point Volunteer Fire Association, Inc | Ambulance | 4949 St. Rd. 25 South, West Point, IN 47992-0071 | 2017-08-23 |
| 1861918849 | Corey Simmons | Ambulance | 3659 N Temple Ave, Indianapolis, IN 46218 | 2017-08-21 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on HUNTERTOWN VOLUNTEER FIRE DEPARTMENT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.