Provider Demographics
NPI:1407481153
Name:CASSELL STATION VOLUNTEER FIRE DEPT INC
Entity Type:Organization
Organization Name:CASSELL STATION VOLUNTEER FIRE DEPT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-432-5898
Mailing Address - Street 1:PO BOX 645834
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45264-5834
Mailing Address - Country:US
Mailing Address - Phone:740-432-5898
Mailing Address - Fax:
Practice Address - Street 1:4500 PETERS CREEK RD
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-9385
Practice Address - Country:US
Practice Address - Phone:740-432-5898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-03
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance