Healthcare Provider Details

I. General information

NPI: 1932390341
Provider Name (Legal Business Name): MASSIE TOWNSHIP FD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2007
Last Update Date: 08/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 HARVEYSBURG ROAD
HARVEYSBURG OH
45032
US

IV. Provider business mailing address

10 HARVEYSBURG RD PO BOX 27
HARVEYSBURG OH
45032
US

V. Phone/Fax

Practice location:
  • Phone: 513-897-5039
  • Fax:
Mailing address:
  • Phone: 513-897-5039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416S0300X
TaxonomyWater Ambulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: STEVE D GIBSON
Title or Position: FIRECHIRF
Credential:
Phone: 513-897-5039