Healthcare Provider Details

I. General information

NPI: 1306847017
Provider Name (Legal Business Name): OR & W FIRE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2005
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4210 CENTRAL AVE
SHADYSIDE OH
43947-1211
US

IV. Provider business mailing address

650 N CANNON AVE # 52
LANSDALE PA
19446-1874
US

V. Phone/Fax

Practice location:
  • Phone: 740-676-1910
  • Fax: 740-676-1084
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number020313700
License Number StateOH

VIII. Authorized Official

Name: RC FELLOWS
Title or Position: CHIEF
Credential:
Phone: 740-676-9642