Organization
HOLLOWAY VOLUNTEER FIRE DEPARTMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN WILLIAMS (EMS BILLING COORDINATOR)
(740) 968-4260
Entity
Organization
Contact information
Practice address
108 W. MAIN ST, HOLLOWAY, OH 43985
(740) 968-0504
(740) 968-0504
Mailing address
PO BOX 176, HOLLOWAY, OH 43985-0176
(740) 968-0504
(740) 968-0504
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
020376600
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2914896
—
OH
01
—
P00751293
RR MEDICARE
OH
Enumeration date
06/05/2006
Last updated
11/04/2009
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