MEDICARE: ALBANY AREA VOLUNTEER FIRE DEPARTMENT, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance

General Provider Information

NPI Number	:	1083702740
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBANY AREA VOLUNTEER FIRE DEPARTMENT, INC.

Provider Business Mailing Address
First Line	:	PO BOX 621005
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45262-1005
Country	:	US
Telephone Number	:	800-962-1484
Fax Number	:	513-772-4464

Provider Business Practice Location Address
First Line	:	5533 FIRE DEPARTMENT LN
Second Line	:
City	:	ALBANY
State	:	OH
Zip	:	45710-9556
Country	:	US
Telephone Number	:	740-698-7286
Fax Number	:

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	WARREN KEIRNS
Credential	:
Telephone Number	:	740-698-7286

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	08/22/2020

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