Provider Demographics
NPI:1669631693
Name:RENO VOLUNTEER FIRE DEPARTMENT INC
Entity Type:Organization
Organization Name:RENO VOLUNTEER FIRE DEPARTMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:J
Authorized Official - Last Name:LISK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-376-9330
Mailing Address - Street 1:PO BOX 346
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:OH
Mailing Address - Zip Code:45773-0346
Mailing Address - Country:US
Mailing Address - Phone:740-376-9330
Mailing Address - Fax:
Practice Address - Street 1:250 CORNERVILLE RD
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750
Practice Address - Country:US
Practice Address - Phone:740-376-9330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport