Organization
EAST WAYNE FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN M MCKELVEY (FISCAL OFFICER)
(330) 828-8236
Entity
Organization
Contact information
Practice address
146 NORTH CHURCH STREET, DALTON, OH 44618-0134
(330) 828-8236
(330) 828-2998
Mailing address
PO BOX 134, DALTON, OH 44618-0134
(330) 828-8236
(330) 828-2998
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
022452200
OH
341600000X
Ambulance
022452201
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0152167
—
OH
01
—
P01739258
RAILROAD MEDICARE
OH
Enumeration date
12/19/2014
Last updated
07/13/2023
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