Provider Demographics
NPI:1033683628
Name:CITY OF LONDON
Entity Type:Organization
Organization Name:CITY OF LONDON
Other - Org Name:CITY OF LONDON DIVISION OF FIRE/EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:EADES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-852-4297
Mailing Address - Street 1:PO BOX L-3962
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43260-3962
Mailing Address - Country:US
Mailing Address - Phone:740-852-4297
Mailing Address - Fax:740-852-1392
Practice Address - Street 1:103 E HIGH ST
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:OH
Practice Address - Zip Code:43140-1228
Practice Address - Country:US
Practice Address - Phone:740-852-4297
Practice Address - Fax:740-852-1392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0343252Medicaid
OH000001256114OtherANTHEM