=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710072897
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CITY OF CONNEAUT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/04/2006
-----------------------------------------------------
Last Update Date | 05/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 294 MAIN ST CONNEAUT RESC SQUAD, CONNEAUT FIRE DEPARTMENT
-----------------------------------------------------
City | CONNEAUT
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44030-2650
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-593-7426
-----------------------------------------------------
Fax | 440-593-2845
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 392907
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15251-9907
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-962-1484
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FIRE CHIEF
-----------------------------------------------------
Name | STEVEN LEE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 440-319-1313
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------