Healthcare Provider Details

I. General information

NPI: 1356406839
Provider Name (Legal Business Name): HILLNDALE VOLUNTEER FIRE DEPARTMENT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2709 WILSON AVE
MINGO JUNCTION OH
43938
US

IV. Provider business mailing address

2709 WILSON AVE
MINGO JUNCTION OH
43938
US

V. Phone/Fax

Practice location:
  • Phone: 740-283-1141
  • Fax: 740-283-1141
Mailing address:
  • Phone: 740-283-1141
  • Fax: 740-283-1141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. GERALD M. VOGT
Title or Position: PRESIDENT
Credential:
Phone: 740-283-1141