MEDICARE: NORTHEAST CHAMPAIGN COUNTY FIRE DISTRICT

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000155160	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1578555785
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHEAST CHAMPAIGN COUNTY FIRE DISTRICT

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	:

Provider Business Practice Location Address
First Line	:	60 E MAPLE ST
Second Line	:
City	:	NORTH LEWISBURG
State	:	OH
Zip	:	43060-9997
Country	:	US
Telephone Number	:	937-747-2345
Fax Number	:

Authorized Official
Title or Position	:	FISCAL OFFICER
Name	:	JENNY JENKINS
Credential	:
Telephone Number	:	937-747-2345

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	05/14/2024

Similar Medicare Providers

1720609217 — WILLGLOWE HEALTH SERVICES, INC
Practice Location Address:

2201 E MAPLE ST
NORTH CANTON, OH
44720-9997

Practice Phone: 330-361-0329
Practice Fax:

1336000421 — MICHELLE NICOLE WILLOCK
Practice Location Address:

2201 E MAPLE ST # 2313
NORTH CANTON, OH
44720-9997

Practice Phone: 330-618-3145
Practice Fax:

1114146727 — MRS. MARILYN JOE MYERS LPN LICENSE
Practice Location Address:

6338 BRUSH LAKE RD
NORTH LEWISBURG, OH
43060-9621

Practice Phone: 937-747-3706
Practice Fax:

1336360379 — DEBORAH JO BRYANT LPN
Practice Location Address:

299 LINCOLN PLACE
NORTH LEWISBURG, OH
43060

Practice Phone: 937-844-3837
Practice Fax:

1154560712 — TRIAD LOCAL SCHOOLS
Practice Location Address:

7920 BRUSH LAKE RD
NORTH LEWISBURG, OH
43060-9617

Practice Phone: 937-826-4004
Practice Fax:

1265767511 — ALICIA MARIE MEDINA
Practice Location Address:

130 CURTIS ST
NORTH LEWISBURG, OH
43060-9751

Practice Phone: 614-301-4533
Practice Fax:

Directions to “NORTHEAST CHAMPAIGN COUNTY FIRE DISTRICT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.