# C B & S JOINT FIRE DISTRICT

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

## Provider details

- **NPI number:** 1326095993
- **Authorized official:** JEFFREY BURRER (FIRE CHIEF)
- **Authorized official phone:** (419) 545-0073

## Contact information

- **Practice address:** 11 N DELAWARE ST, SHILOH, OH 44878-9747
- **Practice address phone:** (419) 896-3966
- **Mailing address:** 10361 SPARTAN DR, CINCINNATI, OH 45215-1220
- **Mailing address phone:** (800) 962-1484
- **Mailing address fax:** (513) 772-4464

## Taxonomy

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

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 11/07/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000155642 | ANTHEM | — |
| 05 | — | 0793548 | — | OH |
| 01 | — | 590011797 | RAILROAD MEDICARE | — |