Provider Demographics
NPI:1205800950
Name:GETTYSBURG RURAL FIRE DEPARTMENT, INC
Entity type:Organization
Organization Name:GETTYSBURG RURAL FIRE DEPARTMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-459-8936
Mailing Address - Street 1:215 FACTORY ST
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45328
Mailing Address - Country:US
Mailing Address - Phone:937-447-2121
Mailing Address - Fax:
Practice Address - Street 1:215 FACTORY ST
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:OH
Practice Address - Zip Code:45328
Practice Address - Country:US
Practice Address - Phone:937-447-2121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-16
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02097135011854341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0797455Medicaid
OH000000360545OtherBC/BS
OH0797455Medicaid
OH000000360545OtherBC/BS