Provider Demographics
NPI:1215093091
Name:VILLAGE OF HIRAM
Entity type:Organization
Organization Name:VILLAGE OF HIRAM
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-569-9826
Mailing Address - Street 1:11617 GARFIELD RD
Mailing Address - Street 2:PO BOX 65
Mailing Address - City:HIRAM
Mailing Address - State:OH
Mailing Address - Zip Code:44234
Mailing Address - Country:US
Mailing Address - Phone:330-569-9826
Mailing Address - Fax:330-569-7128
Practice Address - Street 1:11617 GARFIELD RD
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:OH
Practice Address - Zip Code:44234
Practice Address - Country:US
Practice Address - Phone:330-569-9826
Practice Address - Fax:330-569-7128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance