Provider Demographics
NPI:1700904653
Name:FALLS TOWNSHIP VOLUNTEER FIRE DEPARTMENT INC
Entity Type:Organization
Organization Name:FALLS TOWNSHIP VOLUNTEER FIRE DEPARTMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JASPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-319-6922
Mailing Address - Street 1:PO BOX 2215
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43702-2215
Mailing Address - Country:US
Mailing Address - Phone:740-453-1942
Mailing Address - Fax:740-453-3695
Practice Address - Street 1:3095 DILLON FALLS RD
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-7921
Practice Address - Country:US
Practice Address - Phone:740-453-1942
Practice Address - Fax:740-453-3695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0586281Medicaid
OH0586281Medicaid