Brilliant Volunteer Fire Department Inc
Organization Active NPI Ambulance · Brilliant, OH
NPI 1215026547 · NPPES record last updated Mar 28, 2022
Key facts
- NPI
- 1215026547
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 02-0313750 (OH)
- Legal business name
- BRILLIANT VOLUNTEER FIRE DEPARTMENT INC
- Practice address
- 1001 Third Street
Brilliant, OH 43913-1209 - Phone
- (740) 598-4151
- Fax
- (740) 598-4153
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Brian A Harvey
- Title
- Chief
- Phone
- (740) 598-4151
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050610000001 | OH | Part B Supplier - Ambulance Service Supplier | 2163465139 | Practice locations: Brilliant, OH |
National Provider Directory
Locations
1001 3rd St
Brilliant, OH 43913
Phone (740) 598-4151
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 02-0313750 | OH | Yes |
| Ambulance | 341600000X |
Addresses
Primary practice location
1001 Third Street
Brilliant, OH 43913-1209
Mailing address
1001 Third Street
Brilliant, OH 43913-1209
Phone (740) 598-4151
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0478773 | Medicaid | OH | |
| 3453126000 | Other | OH | BWC |
| 590000629 | Other | OH | RRMEDICARE |
| 000000156086 | Other | OH | BCBS |
Other providers in Brilliant, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.