Provider Demographics
NPI:1710755889
Name:MOHAWK FIRE AND RESCUE DISTRICT
Entity Type:Organization
Organization Name:MOHAWK FIRE AND RESCUE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOHNICA
Authorized Official - Middle Name:JEWEL
Authorized Official - Last Name:LOOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:567-232-0258
Mailing Address - Street 1:PO BOX 77
Mailing Address - Street 2:
Mailing Address - City:SYCAMORE
Mailing Address - State:OH
Mailing Address - Zip Code:44882-0077
Mailing Address - Country:US
Mailing Address - Phone:419-927-2900
Mailing Address - Fax:419-927-2988
Practice Address - Street 1:106 E 7TH STREET
Practice Address - Street 2:
Practice Address - City:SYCAMORE
Practice Address - State:OH
Practice Address - Zip Code:44882
Practice Address - Country:US
Practice Address - Phone:419-927-2900
Practice Address - Fax:419-927-2988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Multi-Specialty