Provider Demographics
NPI:1558560565
Name:ADAMSVILLE COMMUNITY FIRE DEPT & EMERGENCY SQUAD INC
Entity Type:Organization
Organization Name:ADAMSVILLE COMMUNITY FIRE DEPT & EMERGENCY SQUAD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE MGR
Authorized Official - Prefix:
Authorized Official - First Name:KATY
Authorized Official - Middle Name:
Authorized Official - Last Name:PAUMIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-587-1361
Mailing Address - Street 1:PO BOX 305
Mailing Address - Street 2:
Mailing Address - City:ADAMSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43802-0305
Mailing Address - Country:US
Mailing Address - Phone:740-796-3371
Mailing Address - Fax:
Practice Address - Street 1:5345 MOLLIES ROCK RD
Practice Address - Street 2:
Practice Address - City:ADAMSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43802-9794
Practice Address - Country:US
Practice Address - Phone:740-796-3371
Practice Address - Fax:740-754-1812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHEMS.0203927003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0626522Medicaid
OH0626522Medicaid