Organization Active NPI

Fairview Community Volunteer Fire Department

Doing business as Fairview Fire Department

  • Land Ambulance
  • Quaker City, OH
National Provider Identifier
1043108491
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
FAIRVIEW COMMUNITY VOLUNTEER FIRE DEPARTMENT
Doing business as
Fairview Fire Department
Practice address
160 Fair Ave
Quaker City, OH 43773-2314
Phone
(740) 839-9245
Fax
(336) 791-0196
NPI assigned
Jun 25, 2025
Last updated
Sep 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Holly Olsen, EMT
Title
EMS Assistant Chief
Phone
(740) 839-9245

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X
Paramedic 146L00000X
Intermediate Emergency Medical Technician 146M00000X
Basic Emergency Medical Technician 146N00000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

160 Fair Ave
Quaker City, OH 43773-2314

Mailing address

160 Fair Ave
Quaker City, OH 43773-2314
Phone (740) 839-9245

Other names 1

  • Fairview Fire Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251014003568 OH Part B Supplier - Ambulance Service Supplier 4183111081 Practice locations: Quaker City, OH

National Provider Directory

National Provider Directory

Locations

160 Fair Ave
Quaker City, OH 43773
Phone (740) 839-9245

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1043108491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 FAIR AVE",
            "city": "QUAKER CITY",
            "state": "OH",
            "postal_code": "437732314",
            "telephone_number": "740-839-9245",
            "fax_number": "336-791-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 FAIR AVE",
            "city": "QUAKER CITY",
            "state": "OH",
            "postal_code": "437732314",
            "telephone_number": "740-839-9245",
            "fax_number": "336-791-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW COMMUNITY VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "EMS ASSISTANT CHIEF",
        "authorized_official_telephone_number": "740-839-9245",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairview Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quaker City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.