# VILLAGE OF MANCHESTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Manchester Fire Department and Rescue Squad, Manchester Fire Dept. & Rescue Sqd
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962642520
- **Authorized official:** MARLA CHANE STRIBLEN KIRK (CAPTAIN)
- **Authorized official phone:** (513) 503-9710

## Contact information

- **Practice address:** 405 E. 5TH ST., MANCHESTER, OH 45144
- **Practice address phone:** (937) 549-3358
- **Practice address fax:** (937) 549-2502
- **Mailing address:** PO BOX 2122, RIVERVIEW, MI 48193-1122
- **Mailing address phone:** (734) 224-4744
- **Mailing address fax:** (734) 479-6319

## Taxonomy

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

## Other

- **Enumeration date:** 02/23/2009
- **Last updated:** 03/06/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000622255 | ANTHEM | — |
| 05 | — | 2961595 | — | OH |