Provider Demographics
NPI:1871514133
Name:KINSMAN VOL FIRE DEPT, INC
Entity type:Organization
Organization Name:KINSMAN VOL FIRE DEPT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ELSER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:330-876-3375
Mailing Address - Street 1:PO BOX 307
Mailing Address - Street 2:
Mailing Address - City:KINSMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44428-0307
Mailing Address - Country:US
Mailing Address - Phone:330-876-3375
Mailing Address - Fax:330-876-0140
Practice Address - Street 1:8450 RIDGE RD
Practice Address - Street 2:
Practice Address - City:KINSMAN
Practice Address - State:OH
Practice Address - Zip Code:44428-0307
Practice Address - Country:US
Practice Address - Phone:330-876-3375
Practice Address - Fax:330-876-0140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2011-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0087178Medicaid
OHKI9043671Medicare ID - Type Unspecified