# 1ST CONSOLIDATED FIRE DISTRICT

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

## Provider details

- **NPI number:** 1245263482
- **Authorized official:** CLINT CANTERBURY (FIRE CHIEF)
- **Authorized official phone:** (419) 845-3332

## Contact information

- **Practice address:** 115 N HIGH ST, CALEDONIA, OH 43314-7717
- **Practice address phone:** (419) 845-3332
- **Mailing address:** PO BOX 392907, PITTSBURGH, PA 15251-9907
- **Mailing address phone:** (800) 962-1484
- **Mailing address fax:** (513) 772-4464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 020363450 | OH | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 05/13/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000360582 | ANTHEM | OH |
| 05 | — | 2235727 | — | OH |
| 01 | — | P00247200 | RAILROAD MEDICARE | OH |