MEDICARE: JSP FIRE DISTRICT

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

General Provider Information

NPI Number	:	1912155920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JSP FIRE DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 392907
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-9907
Country	:	US
Telephone Number	:	800-962-1484
Fax Number	:	513-772-4464

Provider Business Practice Location Address
First Line	:	403 W MAIN ST
Second Line	:
City	:	SAINT PARIS
State	:	OH
Zip	:	43072-9749
Country	:	US
Telephone Number	:	937-663-4955
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	VANCE M MCCULLA
Credential	:
Telephone Number	:	937-663-4955

Provider Enumeration Date	:	09/03/2008
Last Update Date	:	05/21/2024

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Directions to “JSP FIRE DISTRICT ” Practice Location

Language	Start Address	Practice Location

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