Provider Demographics
NPI:1770772410
Name:BLADENSBURG FIRE DISTRICT
Entity type:Organization
Organization Name:BLADENSBURG FIRE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS BILLING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-668-4452
Mailing Address - Street 1:PO BOX 2017
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-7217
Mailing Address - Country:US
Mailing Address - Phone:740-668-4452
Mailing Address - Fax:740-668-3188
Practice Address - Street 1:3790 SOUTH MARKET STREET
Practice Address - Street 2:
Practice Address - City:BLADENSBURG
Practice Address - State:OH
Practice Address - Zip Code:43005
Practice Address - Country:US
Practice Address - Phone:740-668-4452
Practice Address - Fax:740-668-3188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-18
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH020360000OtherBOARD OF PHARMACY
OH000000566445OtherANTHEM BCBS
OH00804572OtherRR MEDICARE
OH2839530Medicaid