Provider Demographics
NPI:1699662114
Name:FREMONT FIRE DEPARTMENT
Entity type:Organization
Organization Name:FREMONT FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:A
Authorized Official - Last Name:WAGNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-600-2786
Mailing Address - Street 1:PO BOX 83
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:17853-0083
Mailing Address - Country:US
Mailing Address - Phone:570-539-8230
Mailing Address - Fax:
Practice Address - Street 1:8641 ROUTE 104
Practice Address - Street 2:
Practice Address - City:MT. PLEASANT MILLS
Practice Address - State:PA
Practice Address - Zip Code:17853
Practice Address - Country:US
Practice Address - Phone:570-539-8230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-18
Last Update Date:2025-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance