=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356467294
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CITY OF DOVER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/22/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 116 E 3RD ST
-----------------------------------------------------
City | DOVER
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44622-2922
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-343-6460
-----------------------------------------------------
Fax | 330-343-7336
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 122 E 3RD ST
-----------------------------------------------------
City | DOVER
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44622-2922
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-343-6460
-----------------------------------------------------
Fax | 330-343-7336
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF OF FIRE
-----------------------------------------------------
Name | RUSSELL R VOLKERT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 330-343-6460
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------