1568688935 NPI number — EAST HOLMES FIRE & EMS DISTRICT

Table of content: (NPI 1568688935)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568688935 NPI number — EAST HOLMES FIRE & EMS DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EAST HOLMES FIRE & EMS DISTRICT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568688935
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 428
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BERLIN
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44610-0428
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-893-2349
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5257 COUNTY ROAD 77
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILLERSBURG
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44654-9274
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-893-2117
Provider Business Practice Location Address Fax Number:
330-893-3018
Provider Enumeration Date:
04/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
YODER
Authorized Official First Name:
ERVIN
Authorized Official Middle Name:
C
Authorized Official Title or Position:
FISCAL OFFICER
Authorized Official Telephone Number:
330-893-2349

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0959217 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com