Provider Demographics
NPI:1699811273
Name:VALLEY FIRE DISTRICT
Entity Type:Organization
Organization Name:VALLEY FIRE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:RIEDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-873-7016
Mailing Address - Street 1:PO BOX 212
Mailing Address - Street 2:
Mailing Address - City:PENINSULA
Mailing Address - State:OH
Mailing Address - Zip Code:44264-0212
Mailing Address - Country:US
Mailing Address - Phone:330-873-7016
Mailing Address - Fax:330-657-2282
Practice Address - Street 1:1775 MAIN ST
Practice Address - Street 2:
Practice Address - City:PENINSULA
Practice Address - State:OH
Practice Address - Zip Code:44264-9536
Practice Address - Country:US
Practice Address - Phone:330-873-7016
Practice Address - Fax:330-657-2282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0791488Medicaid
OHVA9321711Medicare ID - Type Unspecified