1912074303 NPI number — EAST SPRINGFIELD VOLUNTEER FIRE DEPARTMENT INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912074303 NPI number — EAST SPRINGFIELD VOLUNTEER FIRE DEPARTMENT INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EAST SPRINGFIELD 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:
1912074303
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/12/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
836 4TH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNTINGTON
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
25701-1407
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-521-1576
Provider Business Mailing Address Fax Number:
304-521-1576

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9845 CR 39
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BLOOMINGDALE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43910-9998
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-543-3563
Provider Business Practice Location Address Fax Number:
304-521-1576
Provider Enumeration Date:
11/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
YOHO
Authorized Official First Name:
TYLER
Authorized Official Middle Name:
J
Authorized Official Title or Position:
FIRE CHIEF
Authorized Official Telephone Number:
740-543-3563

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  020423250 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 000000155352 . This is a "BCBS" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 001705085 . This is a "MT STATE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 590004478 . This is a "RR MEDICARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 590004478 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: ========= . This is a "MED MUTUAL" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: ========= . This is a "BWC" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 0619629 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 800231 . This is a "BLACK LUNG" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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