Provider Demographics
NPI:1780256446
Name:WINONA-BUTLER FIRE DEPARTMENT
Entity type:Organization
Organization Name:WINONA-BUTLER FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:BRANTINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-222-1524
Mailing Address - Street 1:PO BOX 167
Mailing Address - Street 2:
Mailing Address - City:WINONA
Mailing Address - State:OH
Mailing Address - Zip Code:44493-0167
Mailing Address - Country:US
Mailing Address - Phone:330-222-1524
Mailing Address - Fax:330-222-0159
Practice Address - Street 1:4894 WHINNERY ROAD
Practice Address - Street 2:
Practice Address - City:WINONA
Practice Address - State:OH
Practice Address - Zip Code:44493
Practice Address - Country:US
Practice Address - Phone:330-222-1524
Practice Address - Fax:330-222-0159
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WINONA-BUTLER FIRE DEPARTMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance