FAYETTEVILLE FIRE DEPARTMENT INC. NPI 1548684210

NPI Information

NPI: 1548684210
Provider Name: FAYETTEVILLE FIRE DEPARTMENT, INC.
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 36D0929856

Address:
100 N. APPLE ST.
FAYETTEVILLE, OH
ZIP 45118
Phone: (513) 875-2202
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FAYETTEVILLE FIRE DEPARTMENT, INC. is a land transport ambulance in Fayetteville, OH. FAYETTEVILLE FIRE DEPARTMENT, INC. NPI is 1548684210. The provider is registered as an organization entity type.

The provider's business location address is:

100 N. APPLE ST.
FAYETTEVILLE, OH
ZIP 45118
Phone: (513) 875-2202

The provider's authorized official is Jennifer A Rosselot .
The authorized official title is Asst. Treasurer and has the following contact phone number (513) 875-2202.

The CLIA number assigned to this NPI record is 36D0929856 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2014 and was last updated on 11/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	020427852	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000007951	OTHER		ANTHEM
2	H297980	MEDICARE PIN
3	0102894	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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