MEDICARE: MORROW COUNTY FIREFIGHTERS & SQUADMENS ASSOCIATION

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	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000154999	OTHER	OH	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316939010
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORROW COUNTY FIREFIGHTERS & SQUADMENS ASSOCIATION

Provider Business Mailing Address
First Line	:	PO BOX 392907
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-9907
Country	:	US
Telephone Number	:	800-962-1484
Fax Number	:	419-946-1601

Provider Business Practice Location Address
First Line	:	140 S MAIN ST
Second Line	:
City	:	MOUNT GILEAD
State	:	OH
Zip	:	43338-1408
Country	:	US
Telephone Number	:	419-946-7727
Fax Number	:	419-946-1601

Authorized Official
Title or Position	:	EMS MANAGER
Name	:	JEFF SPARKS
Credential	:
Telephone Number	:	419-946-1109

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	05/14/2024

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