Organization
FAYETTEVILLE FIRE DEPARTMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER A ROSSELOT (ASST. TREASURER)
(513) 875-3824
Entity
Organization
Contact information
Practice address
100 N. APPLE ST., FAYETTEVILLE, OH 45118
(513) 875-2202
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251-9907
(800) 962-1484
(513) 772-4464
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
020427852
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007951
ANTHEM
—
05
—
0102894
—
OH
Enumeration date
02/14/2014
Last updated
05/14/2024
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