# ANTRIM COMMUNITY VOLUNTEER FIRE DEPARTMENT

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

## Provider details

- **NPI number:** 1225335177
- **Authorized official:** DAN SPENCER (FIRE CHIEF)
- **Authorized official phone:** (740) 510-0257

## Contact information

- **Practice address:** 20217 CADIZ RD, FREEPORT, OH 43973-9614
- **Practice address phone:** (740) 510-0257
- **Mailing address:** 20217 CADIZ RD, FREEPORT, OH 43973-9614

## Taxonomy

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

## Other

- **Enumeration date:** 02/11/2011
- **Last updated:** 01/22/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3154036 | — | OH |