Basic Information
| Provider Information | |||||||||
| NPI: | 1386642288 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CARTHAGE VOLUNTEER FIRE DEPARTMENT OF RUSH COUNTY INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 836 4TH AVE. | ||||||||
| Address2: | |||||||||
| City: | HUNTINGTON | ||||||||
| State: | WV | ||||||||
| PostalCode: | 25701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8006764785 | ||||||||
| FaxNumber: | 3045224222 | ||||||||
| Practice Location | |||||||||
| Address1: | 208 S MAIN ST | ||||||||
| Address2: | |||||||||
| City: | CARTHAGE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 461159629 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7655651234 | ||||||||
| FaxNumber: | 7655656433 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2005 | ||||||||
| LastUpdateDate: | 04/05/2013 | ||||||||
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| AuthorizedOfficialLastName: | DUNCAN | ||||||||
| AuthorizedOfficialFirstName: | BOYD | ||||||||
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| AuthorizedOfficialTitleorPosition: | CHIEF | ||||||||
| AuthorizedOfficialTelephone: | 7655651234 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 341600000X | 387 | IN | Y | Transportation Services | Ambulance |
ID Information
| ID | Type | State | Issuer | Description | 000000214149 | 01 | KY | ANTHEM | OTHER | 590015637 | 01 | IN | RAILROAD MEDICARE | OTHER | 200239270A | 05 | IN | MEDICAID |