Provider Demographics
NPI:1689704587
Name:AMSTERDAM VOLUNTEER FIRE DEPARTMENT
Entity Type:Organization
Organization Name:AMSTERDAM VOLUNTEER FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:D
Authorized Official - Last Name:MARCUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-543-4332
Mailing Address - Street 1:PO BOX 176
Mailing Address - Street 2:
Mailing Address - City:AMSTERDAM
Mailing Address - State:OH
Mailing Address - Zip Code:43903-0176
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6223 STEUBENVILLE ROAD
Practice Address - Street 2:
Practice Address - City:AMSTERDAM
Practice Address - State:OH
Practice Address - Zip Code:43903
Practice Address - Country:US
Practice Address - Phone:740-543-4332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH001705126OtherBCBS MT STATE
OH2100952Medicaid
OH800042OtherBLACK LUNG
OH021047550OtherBOARD OF PHARMACY
OH590014614OtherRR MEDICARE
OH590014614OtherRR MEDICARE
OH590014614OtherRR MEDICARE