Provider Demographics
NPI:1104178524
Name:CRESCENT VILLA FIRE AUTHORITY
Entity Type:Organization
Organization Name:CRESCENT VILLA FIRE AUTHORITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE AUTHORITY BOARD MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:RINGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-608-7715
Mailing Address - Street 1:1105 SCHROCK RD
Mailing Address - Street 2:SUITE 610
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-1146
Mailing Address - Country:US
Mailing Address - Phone:614-987-2006
Mailing Address - Fax:614-987-1989
Practice Address - Street 1:777 OVERLOOK RD
Practice Address - Street 2:
Practice Address - City:CRESCENT SPRINGS
Practice Address - State:KY
Practice Address - Zip Code:41017-1409
Practice Address - Country:US
Practice Address - Phone:859-341-3840
Practice Address - Fax:859-344-4191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-09
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1434341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance