Provider Demographics
NPI:1689191462
Name:WEST POINT VOLUNTEER FIRE ASSOCIATION, INC
Entity type:Organization
Organization Name:WEST POINT VOLUNTEER FIRE ASSOCIATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CHEESMAN
Authorized Official - Suffix:
Authorized Official - Credentials:FIREFIGHTER I & II &
Authorized Official - Phone:765-572-2550
Mailing Address - Street 1:P.O. BOX 71
Mailing Address - Street 2:4949 ST. RD. 25 SOUTH
Mailing Address - City:WEST POINT
Mailing Address - State:IN
Mailing Address - Zip Code:47992-0071
Mailing Address - Country:US
Mailing Address - Phone:765-572-2794
Mailing Address - Fax:
Practice Address - Street 1:4949 ST. RD. 25 SOUTH
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:IN
Practice Address - Zip Code:47992-0071
Practice Address - Country:US
Practice Address - Phone:765-572-2794
Practice Address - Fax:765-572-2794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-23
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport