Healthcare Provider Details

I. General information

NPI: 1043108491
Provider Name (Legal Business Name): FAIRVIEW COMMUNITY VOLUNTEER FIRE DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2025
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 FAIR AVE
QUAKER CITY OH
43773-2314
US

IV. Provider business mailing address

160 FAIR AVE
QUAKER CITY OH
43773-2314
US

V. Phone/Fax

Practice location:
  • Phone: 740-839-9245
  • Fax: 336-791-0196
Mailing address:
  • Phone: 740-839-9245
  • Fax: 336-791-0196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code146L00000X
TaxonomyParamedic
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code146M00000X
TaxonomyIntermediate Emergency Medical Technician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: HOLLY OLSEN
Title or Position: EMS ASSISTANT CHIEF
Credential: EMT
Phone: 740-839-9245