=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760585715
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOLMES FIRE DISTRICT NO 1
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/06/2006
-----------------------------------------------------
Last Update Date | 03/12/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8478 SR 39 W
-----------------------------------------------------
City | MILLERSBURG
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44654
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-674-1926
-----------------------------------------------------
Fax | 330-674-3535
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 7
-----------------------------------------------------
City | MILLERSBURG
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44654-0007
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-674-1926
-----------------------------------------------------
Fax | 330-674-3535
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FISCAL OFFICER
-----------------------------------------------------
Name | MRS. MICHELE B GERBER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 330-674-1926
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 341600000X
-----------------------------------------------------
Taxonomy Name | Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------