Provider Demographics
NPI:1518941871
Name:CRIDERSVILLE VOLUNTEER FIRE COMPANY INC
Entity Type:Organization
Organization Name:CRIDERSVILLE VOLUNTEER FIRE COMPANY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE/EMS CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-645-4000
Mailing Address - Street 1:100 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CRIDERSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45806-2321
Mailing Address - Country:US
Mailing Address - Phone:419-645-4000
Mailing Address - Fax:419-645-4000
Practice Address - Street 1:100 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CRIDERSVILLE
Practice Address - State:OH
Practice Address - Zip Code:45806-2321
Practice Address - Country:US
Practice Address - Phone:419-645-4000
Practice Address - Fax:419-645-4000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02-1326003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9352701Medicare ID - Type UnspecifiedAMBULANCE SERVICE