1376641977 NPI number — CITY OF MARION AUDITOR

Table of content: (NPI 1376641977)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376641977 NPI number — CITY OF MARION AUDITOR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF MARION AUDITOR
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:
MARION CITY FIRE DEPARTMENT
Provider Other Organization Name Type Code:
3
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:
1376641977
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/04/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10361 SPARTAN DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45215-1220
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-962-1484
Provider Business Mailing Address Fax Number:
513-772-4464

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
186 S PROSPECT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MARION
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43302-3957
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-382-0040
Provider Business Practice Location Address Fax Number:
740-382-1145
Provider Enumeration Date:
09/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ROBBINS
Authorized Official First Name:
TOM
Authorized Official Middle Name:
Authorized Official Title or Position:
SAFETY DIRECTOR
Authorized Official Telephone Number:
740-387-5865

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  020365900 , 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: 000000333487 . This is a "BCBS" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: P00143259 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2520132 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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