Organization
CITY OF CANTON
Active
Parent organization
CITY OF CANTON FIRE DEPARTMENT
Other names
CITY OF CANTON FIRE DEPARTMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF CANTON FIRE DEPARTMENT
Authorized official
PATRICK BODNAR (CAPTAIN/EMS COORDINATOR)
(330) 438-4553
Entity
Organization
Contact information
Practice address
110 7TH ST SW, CANTON, OH 44702-2128
(330) 489-3256
(330) 471-8831
Mailing address
PO BOX 9151, CANTON, OH 44711-9151
(330) 489-3400
(330) 471-8831
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
020328050
OH
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155964
BCBS
OH
05
—
0892486
—
OH
01
—
590007156
RR MEDICARE
OH
01
—
802689
BLACK LUNG
OH
Enumeration date
08/31/2006
Last updated
03/31/2023
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