Healthcare Provider Details

I. General information

NPI: 1669631693
Provider Name (Legal Business Name): RENO VOLUNTEER FIRE DEPARTMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2008
Last Update Date: 01/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 CORNERVILLE RD
MARIETTA OH
45750
US

IV. Provider business mailing address

PO BOX 346
RENO OH
45773-0346
US

V. Phone/Fax

Practice location:
  • Phone: 740-376-9330
  • Fax:
Mailing address:
  • Phone: 740-376-9330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateOH

VIII. Authorized Official

Name: MR. RANDY J LISK
Title or Position: ASSISTANT CHIEF
Credential:
Phone: 740-376-9330