Provider Demographics
NPI:1790135333
Name:SE HARDIN NW UNION JOINT FIRE DISTRICT
Entity Type:Organization
Organization Name:SE HARDIN NW UNION JOINT FIRE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:E
Authorized Official - Last Name:LARRABEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-354-2345
Mailing Address - Street 1:124 S WHEELER ST
Mailing Address - Street 2:P.O. BOX 123
Mailing Address - City:MOUNT VICTORY
Mailing Address - State:OH
Mailing Address - Zip Code:43340-9725
Mailing Address - Country:US
Mailing Address - Phone:937-354-2345
Mailing Address - Fax:937-354-2345
Practice Address - Street 1:212 S WHEELER ST
Practice Address - Street 2:
Practice Address - City:MOUNT VICTORY
Practice Address - State:OH
Practice Address - Zip Code:43340-9717
Practice Address - Country:US
Practice Address - Phone:937-354-2345
Practice Address - Fax:937-354-2345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-14
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3416L00300X341600000X
341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance