Organization
FARMERSVILLE FIRE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ERSIMAN (FIRE CHIEF)
(937) 696-2863
Entity
Organization
Contact information
Practice address
207 N ELM ST, FARMERSVILLE, OH 45325-1120
(937) 696-2863
(937) 696-9067
Mailing address
207 N ELM ST, FARMERSVILLE, OH 45325-1120
(937) 696-2863
(937) 696-9067
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
02034675013
OH
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000246593
ANTHEM
OH
05
—
2378770
—
OH
01
—
590015514
RAILROAD MEDICARE
OH
Enumeration date
08/17/2005
Last updated
02/27/2023
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