Provider Demographics
NPI:1801257142
Name:NAVARRE-BETHLEHEM JOINT FIRE DISTRICT
Entity type:Organization
Organization Name:NAVARRE-BETHLEHEM JOINT FIRE DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHAUNTELLE
Authorized Official - Middle Name:S
Authorized Official - Last Name:SKIRTICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-879-5840
Mailing Address - Street 1:34 MAIN ST S
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:OH
Mailing Address - Zip Code:44662-1141
Mailing Address - Country:US
Mailing Address - Phone:330-879-5840
Mailing Address - Fax:330-879-5815
Practice Address - Street 1:34 MAIN ST S
Practice Address - Street 2:
Practice Address - City:NAVARRE
Practice Address - State:OH
Practice Address - Zip Code:44662-1141
Practice Address - Country:US
Practice Address - Phone:330-879-5840
Practice Address - Fax:330-879-5815
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NAVARRE-BETHLEHEM JOINT FIRE DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-15
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH022583900341600000X
OH0225883901341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0167735Medicaid