Provider Demographics
NPI:1780741611
Name:UNIONTOWN FIRE DEPARTMENT
Entity type:Organization
Organization Name:UNIONTOWN FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN EMS COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:M
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-699-3239
Mailing Address - Street 1:13055 OAKWOOD AVE NW
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-8040
Mailing Address - Country:US
Mailing Address - Phone:330-699-3239
Mailing Address - Fax:330-699-1743
Practice Address - Street 1:13055 OAKWOOD AVE NW
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-0187
Practice Address - Country:US
Practice Address - Phone:330-699-3239
Practice Address - Fax:330-699-1743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2170770Medicaid
OH2170770Medicaid