Provider Demographics
NPI:1003223199
Name:HARTFORD VOLUNTEER FIRE DEPARTMENT INC
Entity Type:Organization
Organization Name:HARTFORD VOLUNTEER FIRE DEPARTMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-893-3291
Mailing Address - Street 1:PO BOX 2085
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-7285
Mailing Address - Country:US
Mailing Address - Phone:740-893-3291
Mailing Address - Fax:740-893-3472
Practice Address - Street 1:180 SMITH STREET
Practice Address - Street 2:
Practice Address - City:CROTON
Practice Address - State:OH
Practice Address - Zip Code:43013
Practice Address - Country:US
Practice Address - Phone:740-893-3291
Practice Address - Fax:740-893-3472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-21
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0116069Medicaid