Healthcare Provider Details

I. General information

NPI: 1891731725
Provider Name (Legal Business Name): ADENA FIRE COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 01/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 E MAIN ST
ADENA OH
43901-7813
US

IV. Provider business mailing address

PO BOX 656
ADENA OH
43901-0656
US

V. Phone/Fax

Practice location:
  • Phone: 740-546-4113
  • Fax:
Mailing address:
  • Phone: 740-546-4113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number020311950
License Number StateOH

VIII. Authorized Official

Name: MR. GREG ARNETT
Title or Position: TREASURE
Credential:
Phone: 740-546-4113