Provider Demographics
NPI:1447306238
Name:SMITH TOWNSHIP VOLUNTEER FIRE CO.
Entity type:Organization
Organization Name:SMITH TOWNSHIP VOLUNTEER FIRE CO.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SQUAD CAPTAIN
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATTY
Authorized Official - Middle Name:F
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-686-2430
Mailing Address - Street 1:PO BOX 515
Mailing Address - Street 2:
Mailing Address - City:BOLIVAR
Mailing Address - State:OH
Mailing Address - Zip Code:44612-0515
Mailing Address - Country:US
Mailing Address - Phone:330-874-1140
Mailing Address - Fax:330-874-4302
Practice Address - Street 1:46389 FIREHOUSE RD
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:OH
Practice Address - Zip Code:43718
Practice Address - Country:US
Practice Address - Phone:740-686-2430
Practice Address - Fax:740-686-2117
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SMITH TOWNSHIP VOLUNTEER FIRE CO.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-26
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH020778950341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH020778950OtherBOARD OF PHARMACY
OH2477154Medicaid