Organization
JEROMESVILLE FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAX FULK (CHIEF)
(419) 368-6811
Entity
Organization
Contact information
Practice address
1 NORTH ST, JEROMESVILLE, OH 44840-9783
(419) 368-6811
Mailing address
PO BOX 951953, CLEVELAND, OH 44193-0021
(937) 619-3013
(937) 619-3014
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155551
ANTHEM
OH
05
—
2553811
—
OH
Enumeration date
08/19/2005
Last updated
08/22/2020
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