Organization
SOUTH CENTRAL FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN MCKELVEY (FISCAL OFFICER)
(330) 695-9919
Entity
Organization
Contact information
Practice address
160 W CLAY ST, FREDERICKSBURG, OH 44627
(330) 695-9919
(330) 695-9919
Mailing address
160 W CLAY ST, FREDERICKSBURG, OH 44627
(330) 695-9919
(330) 695-9919
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
020708700
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074709
—
OH
01
—
020708700
BOARD OF PHARMACY
OH
Enumeration date
01/26/2012
Last updated
04/16/2026
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