MEDICARE: FARMERSVILLE FIRE ASSOCIATION 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	3416L0300X	Land Ambulance
2	341600000X	Ambulance	02034675013	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	590015514	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000246593	OTHER	OH	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578555454
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARMERSVILLE FIRE ASSOCIATION INC

Provider Business Mailing Address
First Line	:	207 N ELM ST
Second Line	:
City	:	FARMERSVILLE
State	:	OH
Zip	:	45325-1120
Country	:	US
Telephone Number	:	937-696-2863
Fax Number	:	937-696-9067

Provider Business Practice Location Address
First Line	:	207 N ELM ST
Second Line	:
City	:	FARMERSVILLE
State	:	OH
Zip	:	45325-1120
Country	:	US
Telephone Number	:	937-696-2863
Fax Number	:	937-696-9067

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	JEFFREY ERSIMAN
Credential	:
Telephone Number	:	937-696-2863

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	02/27/2023

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Directions to “FARMERSVILLE FIRE ASSOCIATION INC ” Practice Location

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