Organization
ANTRIM COMMUNITY VOLUNTEER FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN SPENCER (FIRE CHIEF)
(740) 510-0257
Entity
Organization
Contact information
Practice address
20217 CADIZ RD, FREEPORT, OH 43973-9614
(740) 510-0257
Mailing address
20217 CADIZ RD, FREEPORT, OH 43973-9614
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3154036
—
OH
Enumeration date
02/11/2011
Last updated
01/22/2013
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