Healthcare Provider Details

I. General information

NPI: 1811395981
Provider Name (Legal Business Name): NEWBURY VOLUNTEER FIRE DEPARTMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2014
Last Update Date: 12/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11111 KINSMAN RD
NEWBURY OH
44065-9601
US

IV. Provider business mailing address

11111 KINSMAN RD P O BOX 255
NEWBURY OH
44065-9601
US

V. Phone/Fax

Practice location:
  • Phone: 440-564-2261
  • Fax: 440-564-5874
Mailing address:
  • Phone: 440-564-2261
  • Fax: 440-564-5874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. DOUGLAS ZIMPERMAN
Title or Position: CHIEF
Credential:
Phone: 440-346-0580