Provider Demographics
NPI:1043108491
Name:FAIRVIEW & COMMUNITY VOLUNTEER FIRE DEPARTMENT
Entity type:Organization
Organization Name:FAIRVIEW & COMMUNITY VOLUNTEER FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS ASSISTANT CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSEN
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:740-839-9245
Mailing Address - Street 1:160 FAIR AVE
Mailing Address - Street 2:
Mailing Address - City:QUAKER CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43773-2314
Mailing Address - Country:US
Mailing Address - Phone:740-839-9245
Mailing Address - Fax:
Practice Address - Street 1:160 FAIR AVE
Practice Address - Street 2:
Practice Address - City:QUAKER CITY
Practice Address - State:OH
Practice Address - Zip Code:43773-2314
Practice Address - Country:US
Practice Address - Phone:740-839-9245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes341600000XTransportation ServicesAmbulance
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Multi-Specialty
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Multi-Specialty
No146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, IntermediateGroup - Multi-Specialty
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Multi-Specialty