Provider Demographics
NPI:1760567911
Name:BARTON VOLUNTEER FIRE DEPARTMENT
Entity Type:Organization
Organization Name:BARTON VOLUNTEER FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:P
Authorized Official - Last Name:SMOLENAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-695-3029
Mailing Address - Street 1:70706 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-7732
Mailing Address - Country:US
Mailing Address - Phone:740-695-3029
Mailing Address - Fax:740-695-3767
Practice Address - Street 1:70706 MAIN STREET
Practice Address - Street 2:
Practice Address - City:BARTON
Practice Address - State:OH
Practice Address - Zip Code:43905
Practice Address - Country:US
Practice Address - Phone:740-695-3029
Practice Address - Fax:740-695-3767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02-0325800341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00355610OtherRR MEDICARE
OH2005109Medicaid
OH000000328491OtherBCBS
OH020325800OtherBOARD OF PHARMACY
OH2005109Medicaid
OH9284041Medicare PIN