NPI 1366555856

Hazelwood Volunteer Fire Dept. INC.

Organisation Land Ambulance Clayton, IN

Practice location

Address: 10042 S County Road 0, Clayton, IN 46118-9207
Phone: (317) 539-6404
Fax: (317) 539-6530
Mailing address: PO Box 2915, Elkhart, IN 46515-2915

Authorised official

Name: Karen Cooper
Title: EMS Officer
Phone: (317) 539-6404

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 0142 (IN)

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Registry record

NPI: 1366555856
Entity type: Organization
NPI issued: 17 Aug 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.