Active NPI
Fairview Community Volunteer Fire Department
Doing business as Fairview Fire Department
- Land Ambulance
- Quaker City, OH
National Provider Identifier
1043108491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251014003568 | OH | Part B Supplier - Ambulance Service Supplier | 4183111081 | Practice locations: Quaker City, OH |
National Provider Directory
National Provider DirectoryLocations
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.