Organization
SE HARDIN NW UNION JOINT FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE WALLACE (FISCAL OFFICER)
(937) 354-2345
Entity
Organization
Contact information
Practice address
212 S WHEELER ST, MOUNT VICTORY, OH 43340-9717
(937) 354-2345
(937) 354-2345
Mailing address
212 S WHEELER ST, MOUNT VICTORY, OH 43340-9717
(937) 354-2345
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
3416L00300X
OH
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022655850
BOARD OF PHARMACY
OH
Enumeration date
06/14/2016
Last updated
07/09/2026
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