Healthcare Provider Details

I. General information

NPI: 1326083841
Provider Name (Legal Business Name): MT. ORAB FIRE DEPARTMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 SPICE ST
MOUNT ORAB OH
45154-8932
US

IV. Provider business mailing address

PO BOX 621005
CINCINNATI OH
45262-1005
US

V. Phone/Fax

Practice location:
  • Phone: 800-962-1484
  • Fax: 513-772-4464
Mailing address:
  • Phone: 800-962-1484
  • Fax: 513-772-4464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LISA REEVES
Title or Position: EMS CHIEF
Credential:
Phone: 937-444-3945