# THE CRAIG BEACH VOLUNTEER FIRE DEPARTMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114411550
- **Authorized official:** BRENDA G ROWE (SECRETARY)
- **Authorized official phone:** (330) 626-5450

## Contact information

- **Practice address:** 1797 GRANDVIEW RD, LAKE MILTON, OH 44429
- **Practice address phone:** (330) 654-4347
- **Practice address fax:** (330) 654-9190
- **Mailing address:** 1797 GRANDVIEW RD, LAKE MILTON, OH 44429
- **Mailing address phone:** (330) 654-4347
- **Mailing address fax:** (330) 654-9190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 06/19/2018
- **Last updated:** 09/21/2020