Healthcare Provider Details

I. General information

NPI: 1538151352
Provider Name (Legal Business Name): CITY OF VANDALIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 07/16/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8705 PETERS PIKE
VANDALIA OH
45377-9306
US

IV. Provider business mailing address

PO BOX 392907
PITTSBURGH PA
15251-9907
US

V. Phone/Fax

Practice location:
  • Phone: 937-898-2261
  • Fax:
Mailing address:
  • Phone: 800-962-1484
  • Fax: 137-724-4645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number02-0315700
License Number StateOH

VIII. Authorized Official

Name: CHAD FOLLICK
Title or Position: FIRE CHIEF
Credential:
Phone: 937-898-2261