Healthcare Provider Details

I. General information

NPI: 1316939010
Provider Name (Legal Business Name): MORROW COUNTY FIREFIGHTERS & SQUADMENS ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 05/14/2024
Certification Date: 05/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 S MAIN ST
MOUNT GILEAD OH
43338-1408
US

IV. Provider business mailing address

PO BOX 392907
PITTSBURGH PA
15251-9907
US

V. Phone/Fax

Practice location:
  • Phone: 419-946-7727
  • Fax: 419-946-1601
Mailing address:
  • Phone: 800-962-1484
  • Fax: 419-946-1601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: JEFF SPARKS
Title or Position: EMS MANAGER
Credential:
Phone: 419-946-1109