Provider Demographics
NPI:1356467294
Name:CITY OF DOVER
Entity Type:Organization
Organization Name:CITY OF DOVER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF FIRE
Authorized Official - Prefix:
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:R
Authorized Official - Last Name:VOLKERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-343-6460
Mailing Address - Street 1:122 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:OH
Mailing Address - Zip Code:44622-2922
Mailing Address - Country:US
Mailing Address - Phone:330-343-6460
Mailing Address - Fax:330-343-7336
Practice Address - Street 1:116 E 3RD ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:OH
Practice Address - Zip Code:44622-2922
Practice Address - Country:US
Practice Address - Phone:330-343-6460
Practice Address - Fax:330-343-7336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0415134Medicaid
OH0415134Medicaid