=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093833477
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WASHINGTON TWP FIRE DEPT.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/26/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2310 ADAMSVILLE RD
-----------------------------------------------------
City | ZANESVILLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43701-6949
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-452-2221
-----------------------------------------------------
Fax | 740-450-3265
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 2826
-----------------------------------------------------
City | ZANESVILLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43702-2826
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-452-2221
-----------------------------------------------------
Fax | 740-450-3265
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EMS COORDINATOR
-----------------------------------------------------
Name | LORI WORTMAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 740-452-2221
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------