# NATIONAL TRAIL VOLUNTEER FIRE

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

## Provider details

- **NPI number:** 1770507840
- **Authorized official:** TOM ALLEN ROBERTS (FIRE CHIEF)
- **Authorized official phone:** (740) 787-2466

## Contact information

- **Practice address:** 362 CHURCH ST., GRATIOT, OH 43740-0165
- **Practice address phone:** (740) 787-2466
- **Practice address fax:** (740) 787-1026
- **Mailing address:** PO BOX 165, GRATIOT, OH 43740-0165
- **Mailing address phone:** (740) 787-2466
- **Mailing address fax:** (740) 787-1026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | EMS.020309700 | OH | Yes |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 05/26/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2398534 | — | OH |