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Contact Information

FAYETTEVILLE FIRE DEPARTMENT, INC.
100 N. APPLE ST.
FAYETTEVILLE, OH45118
 Phone: 513-875-2202
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Land Transport

3416L0300X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for FAYETTEVILLE FIRE DEPARTMENT, INC.

NPI Number 1548684210
LBN Legal business name FAYETTEVILLE FIRE DEPARTMENT, INC.
Authorized official JENNIFER ROSSELOT - (ASST. TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/14/2014
Last updated 05/14/2024 - About 2 years ago
Identifiers
OH License # 020427852
OH Medicaid 0102894
Other 000000007951 ANTHEM
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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