Organization Active NPI

The Craig Beach Volunteer Fire Department

  • Land Ambulance
  • Lake Milton, OH
National Provider Identifier
1114411550
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
THE CRAIG BEACH VOLUNTEER FIRE DEPARTMENT
Practice address
1797 Grandview Rd
Lake Milton, OH 44429
Phone
(330) 654-4347
Fax
(330) 654-9190
NPI assigned
Jun 19, 2018
Last updated
Sep 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Authorized official

Name
Brenda G Rowe
Title
Secretary
Phone
(330) 626-5450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

1797 Grandview Rd
Lake Milton, OH 44429

Mailing address

1797 Grandview Rd
Lake Milton, OH 44429
Phone (330) 654-4347

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1114411550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1797 GRANDVIEW RD",
            "city": "LAKE MILTON",
            "state": "OH",
            "postal_code": "44429",
            "telephone_number": "330-654-4347",
            "fax_number": "330-654-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 GRANDVIEW RD",
            "city": "LAKE MILTON",
            "state": "OH",
            "postal_code": "44429",
            "telephone_number": "330-654-4347",
            "fax_number": "330-654-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CRAIG BEACH VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "330-626-5450"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Milton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.