MEDICARE: BEACH CITY FIREMENS ASSOCIATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance		OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578639563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEACH CITY FIREMENS ASSOCIATION

Provider Business Mailing Address
First Line	:	PO BOX 616
Second Line	:
City	:	BEACH CITY
State	:	OH
Zip	:	44608-0616
Country	:	US
Telephone Number	:	330-756-2664
Fax Number	:	330-756-2058

Provider Business Practice Location Address
First Line	:	102 WEST MAIN STREET
Second Line	:
City	:	BEACH CITY
State	:	OH
Zip	:	44608
Country	:	US
Telephone Number	:	330-756-2664
Fax Number	:	330-756-2058

Authorized Official
Title or Position	:	FISCAL OFFICER
Name	:	MRS. DEBBIE RENTSCH
Credential	:
Telephone Number	:	330-756-2664

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	08/22/2020

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