Healthcare Provider Details

I. General information

NPI: 1124107396
Provider Name (Legal Business Name): SMITHFIELD FIRE AND RESCUE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1042 FOURTH STREET
SMITHFIELD OH
43948
US

IV. Provider business mailing address

5870 CLEVELAND AVE STE D
COLUMBUS OH
43231-2806
US

V. Phone/Fax

Practice location:
  • Phone: 614-890-8846
  • Fax: 614-890-2947
Mailing address:
  • Phone: 614-890-8653
  • Fax: 614-890-2947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. ANN SMITH
Title or Position: CHIEF OF SMITHFIELD
Credential:
Phone: 800-707-6753