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Organization

FAIRFIELD TOWNSHIP

Active
Parent organization
FAIRFIELD TOWNSHIP
Other names
Fairfield Township Volunteer Fire Department
Organization subpart
Yes

Provider details

NPI number
Legal business name
FAIRFIELD TOWNSHIP
Authorized official
JENNIFER L BROWN (FISCAL OFFICER)
(330) 343-9711
Entity
Organization

Contact information

Practice address
6288 FIREHOUSE STREET, SOMERDALE, OH 44678
(330) 859-2311
Mailing address
5311 JOHNSTOWN RD NE, MINERAL CITY, OH 44656-9046
(330) 343-9711

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
020893850
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000176079
ANTHEM BCBS
OH
05
0377542
OH
Enumeration date
12/13/2006
Last updated
05/24/2022
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