# M&M FIRE DEPARTMENT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** M&M FIRE DEPARTMENT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669548004
- **Authorized official:** WAYLON CLARK (EMS COORD)
- **Authorized official phone:** (740) 538-4548

## Contact information

- **Practice address:** 77 S 4TH ST, MCCONNELSVILLE, OH 43756-1201
- **Practice address phone:** (740) 962-3444
- **Practice address fax:** (740) 962-4798
- **Mailing address:** 77 S 4TH ST, MCCONNELSVILLE, OH 43756-1201
- **Mailing address phone:** (740) 962-3444

## Taxonomy

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

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0206940 | — | OH |
| 01 | — | 590010029 | RR MEDICARE | OH |