MEDICARE: OTTAWA HILLS FIRE & RESCUE DEPARTMENT

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	04813	OH

General Provider Information

NPI Number	:	1386742237
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OTTAWA HILLS FIRE & RESCUE DEPARTMENT

Provider Business Mailing Address
First Line	:	2125 RICHARDS RD
Second Line	:
City	:	OTTAWA HILLS
State	:	OH
Zip	:	43606-2500
Country	:	US
Telephone Number	:	419-531-4849
Fax Number	:	419-535-3550

Provider Business Practice Location Address
First Line	:	2125 RICHARDS RD
Second Line	:
City	:	OTTAWA HILLS
State	:	OH
Zip	:	43606-2500
Country	:	US
Telephone Number	:	419-531-4849
Fax Number	:	419-535-3550

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	MR. JAMES J. SEDLAR
Credential	:	EMT
Telephone Number	:	419-531-4849

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	08/22/2020

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Directions to “OTTAWA HILLS FIRE & RESCUE DEPARTMENT ” Practice Location

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