Organization
OR & W FIRE DISTRICT
Active
Parent organization
OR & W FIRE DISTRICT
Other names
Village of Shadyside
Organization subpart
Yes
Provider details
NPI number
Legal business name
OR & W FIRE DISTRICT
Authorized official
DAVID LENZ (CHIEF)
(740) 676-1910
Entity
Organization
Contact information
Practice address
4210 CENTRAL AVE, SHADYSIDE, OH 43947-1211
(740) 676-1910
(740) 676-1084
Mailing address
PO BOX 6230, WHEELING, WV 26003-0722
(304) 242-7106
(304) 242-7108
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
020313700
OH
343900000X
Non-emergency Medical Transport (VAN)
02031370013
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2413605
—
OH
01
—
346002612
RAILROAD MEDICARE
OH
01
—
346002612000
BWC STATE OF OHIO
OH
Enumeration date
08/03/2005
Last updated
03/20/2014
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