Provider Demographics
NPI:1144385378
Name:HAMBDEN TOWNSHIP
Entity Type:Organization
Organization Name:HAMBDEN TOWNSHIP
Other - Org Name:HAMBDEN FIRE DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:HILDENBRAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-285-3329
Mailing Address - Street 1:9867 OLD STATE RD
Mailing Address - Street 2:
Mailing Address - City:CHARDON
Mailing Address - State:OH
Mailing Address - Zip Code:44024-9530
Mailing Address - Country:US
Mailing Address - Phone:440-285-3329
Mailing Address - Fax:440-285-3799
Practice Address - Street 1:9867 OLD STATE RD
Practice Address - Street 2:
Practice Address - City:CHARDON
Practice Address - State:OH
Practice Address - Zip Code:44024-9530
Practice Address - Country:US
Practice Address - Phone:440-285-3329
Practice Address - Fax:440-285-3799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Single Specialty
No146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, IntermediateGroup - Single Specialty
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2639756Medicaid