MEDICARE: NORTH LAWRENCE VOLUNTEER FIRE DEPT

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	020324650	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000248481	OTHER	OH	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	020324650	OTHER	OH	BOARD OF PHARMACY

General Provider Information

NPI Number	:	1982614129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH LAWRENCE VOLUNTEER FIRE DEPT

Provider Business Mailing Address
First Line	:	PO BOX 230
Second Line	:
City	:	NORTH LAWRENCE
State	:	OH
Zip	:	44666-0230
Country	:	US
Telephone Number	:	330-832-6347
Fax Number	:	330-832-1932

Provider Business Practice Location Address
First Line	:	4052 ALABAMA AVE NW
Second Line	:
City	:	NORTH LAWRENCE
State	:	OH
Zip	:	44666-9797
Country	:	US
Telephone Number	:	3-832-6347
Fax Number	:	330-832-1932

Authorized Official
Title or Position	:	CHIEF
Name	:	JASON E ROCK
Credential	:
Telephone Number	:	330-832-6347

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	08/14/2025

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