Provider Demographics
NPI:1346423746
Name:NEW PITTSBURG FIRE AND RESCUE ASSOCIATION INC
Entity Type:Organization
Organization Name:NEW PITTSBURG FIRE AND RESCUE ASSOCIATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-264-1230
Mailing Address - Street 1:3311 N ELYRIA RD
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-7645
Mailing Address - Country:US
Mailing Address - Phone:330-264-1230
Mailing Address - Fax:
Practice Address - Street 1:3311 N ELYRIA RD
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-7645
Practice Address - Country:US
Practice Address - Phone:330-264-1230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02-0941450341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00845802OtherRAILROAD
OH2855405Medicaid
OH020941450OtherPHARMACY LICENSE