Organization
1ST CONSOLIDATED FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT CANTERBURY (FIRE CHIEF)
(419) 845-3332
Entity
Organization
Contact information
Practice address
115 N HIGH ST, CALEDONIA, OH 43314-7717
(419) 845-3332
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251-9907
(800) 962-1484
(513) 772-4464
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
020363450
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360582
ANTHEM
OH
05
—
2235727
—
OH
01
—
P00247200
RAILROAD MEDICARE
OH
Enumeration date
07/09/2006
Last updated
05/13/2024
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