Healthcare Provider Details

I. General information

NPI: 1689371197
Provider Name (Legal Business Name): SCOTT TOWNSHIP FIRE & EMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2023
Last Update Date: 02/15/2023
Certification Date: 02/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

295 BURT LN
SEAMAN OH
45679-9002
US

IV. Provider business mailing address

PO BOX 168
SEAMAN OH
45679-0168
US

V. Phone/Fax

Practice location:
  • Phone: 937-386-2929
  • Fax:
Mailing address:
  • Phone: 937-798-0494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MARTY ADAMS JR.
Title or Position: FIRE CHIEF
Credential:
Phone: 937-798-0494