1356406839 NPI number — HILLNDALE VOLUNTEER FIRE DEPARTMENT INC.

Table of content: (NPI 1356406839)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356406839 NPI number — HILLNDALE VOLUNTEER FIRE DEPARTMENT INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HILLNDALE VOLUNTEER FIRE DEPARTMENT INC.
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:
6
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:
1356406839
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2709 WILSON AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MINGO JUNCTION
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43938
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
740-283-1141
Provider Business Mailing Address Fax Number:
740-283-1141

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2709 WILSON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MINGO JUNCTION
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43938
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-283-1141
Provider Business Practice Location Address Fax Number:
740-283-1141
Provider Enumeration Date:
12/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
VOGT
Authorized Official First Name:
GERALD
Authorized Official Middle Name:
M.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
740-283-1141

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2433790 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00118501 . This is a "RR MEDICARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com