Provider Demographics
NPI:1306854542
Name:UNIOPOLIS VOLUNTEER FIRE COMPANY
Entity Type:Organization
Organization Name:UNIOPOLIS VOLUNTEER FIRE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WENNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-738-8350
Mailing Address - Street 1:PO BOX 53
Mailing Address - Street 2:
Mailing Address - City:UNIOPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45888-0053
Mailing Address - Country:US
Mailing Address - Phone:419-738-8350
Mailing Address - Fax:
Practice Address - Street 1:140 E WAYNESFIELD
Practice Address - Street 2:
Practice Address - City:UNIOPOLIS
Practice Address - State:OH
Practice Address - Zip Code:45888-0053
Practice Address - Country:US
Practice Address - Phone:419-738-8350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH020943000146L00000X
OH3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000384068OtherBCBS
OH=========00OtherBWC
OH000000384068OtherBCBS