Provider Demographics
NPI:1245031863
Name:FLAME FITNESS LLC
Entity type:Organization
Organization Name:FLAME FITNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SEARLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-445-4000
Mailing Address - Street 1:800 STRYKER ST
Mailing Address - Street 2:
Mailing Address - City:ARCHBOLD
Mailing Address - State:OH
Mailing Address - Zip Code:43502-1039
Mailing Address - Country:US
Mailing Address - Phone:419-445-4000
Mailing Address - Fax:
Practice Address - Street 1:800 STRYKER ST
Practice Address - Street 2:
Practice Address - City:ARCHBOLD
Practice Address - State:OH
Practice Address - Zip Code:43502-1039
Practice Address - Country:US
Practice Address - Phone:419-445-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service