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Organization

CITY OF FAIRBORN

Active
Other names
Fairborn Fire Department
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN WILLIAMS (FIRE CHIEF)
(937) 754-3080
Entity
Organization

Contact information

Practice address
44 HEBBLE AVE., FAIRBORN, OH 45324
(937) 754-3080
(937) 879-2201
Mailing address
PO BOX 643729, CINCINNATI, OH 45264-0309
(937) 754-3080
(937) 879-2201

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
3416L0300X
Land Ambulance

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000021443
ANTHEM
OH
05
0267018
OH
01
590009435
RAILROAD MEDICARE
OH
Enumeration date
08/03/2005
Last updated
01/23/2023
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