Provider Demographics
NPI:1982614129
Name:NORTH LAWRENCE VOLUNTEER FIRE DEPT
Entity Type:Organization
Organization Name:NORTH LAWRENCE VOLUNTEER FIRE DEPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-832-6347
Mailing Address - Street 1:PO BOX 230
Mailing Address - Street 2:
Mailing Address - City:NORTH LAWRENCE
Mailing Address - State:OH
Mailing Address - Zip Code:44666-0230
Mailing Address - Country:US
Mailing Address - Phone:330-832-6347
Mailing Address - Fax:330-832-1932
Practice Address - Street 1:4052 ALABAMA AVE NW
Practice Address - Street 2:
Practice Address - City:NORTH LAWRENCE
Practice Address - State:OH
Practice Address - Zip Code:44666-9797
Practice Address - Country:US
Practice Address - Phone:003-832-6347
Practice Address - Fax:330-832-1932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH020324650341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2510027Medicaid
OH000000248481OtherBCBS
OH020324650OtherBOARD OF PHARMACY
OH=========OtherTRICARE
OH=========002OtherMEDMUTUAL
OH=========00OtherBWC
OH=========00OtherBWC