Provider Demographics
NPI:1760995591
Name:FAIRMONT AREA EMS & RESCUE
Entity Type:Organization
Organization Name:FAIRMONT AREA EMS & RESCUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:HEASLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-880-7263
Mailing Address - Street 1:1001 S WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28340-1843
Mailing Address - Country:US
Mailing Address - Phone:248-880-7263
Mailing Address - Fax:
Practice Address - Street 1:1001 S WALNUT ST
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:NC
Practice Address - Zip Code:28340-1843
Practice Address - Country:US
Practice Address - Phone:248-880-7263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-15
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport