Organization
CUMBERLAND TRAIL FIRE DISTRICT NO 4
Active
Other names
Cumberland Trail Fire District
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY R HALL (CHIEF)
(740) 695-5147
Entity
Organization
Contact information
Practice address
142 S MARIETTA ST, ST CLAIRSVILLE, OH 43950-1113
(740) 695-5147
(740) 695-6630
Mailing address
PO BOX 505, ST CLAIRSVILLE, OH 43950-0505
(740) 695-5147
(740) 695-6630
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
020321551
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155729
BCBS
OH
01
—
000212164
MT. STATE
OH
01
—
020321550
BOARD OF PHARMACY
OH
05
—
0791933
—
OH
01
—
590005867
RAILROAD MEDICARE
OH
01
—
892909
BLACK LUNG
OH
Enumeration date
05/13/2006
Last updated
03/11/2024
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