Provider Demographics
NPI:1568688935
Name:EAST HOLMES FIRE & EMS DISTRICT
Entity Type:Organization
Organization Name:EAST HOLMES FIRE & EMS DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERVIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:YODER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-893-2349
Mailing Address - Street 1:PO BOX 428
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:OH
Mailing Address - Zip Code:44610-0428
Mailing Address - Country:US
Mailing Address - Phone:330-893-2349
Mailing Address - Fax:
Practice Address - Street 1:5257 COUNTY ROAD 77
Practice Address - Street 2:
Practice Address - City:MILLERSBURG
Practice Address - State:OH
Practice Address - Zip Code:44654-9274
Practice Address - Country:US
Practice Address - Phone:330-893-2117
Practice Address - Fax:330-893-3018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0959217Medicaid
OH0959217Medicaid