Jeromesville Fire District

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

JEROMESVILLE FIRE DISTRICT

Practice address

1 North St
Jeromesville, OH 44840-9783

Phone

(419) 368-6811

NPI assigned

Aug 19, 2005

Organization subpart

No

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

Authorized official

Name

Max Fulk

Title

Chief

Phone

(419) 368-6811

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366434821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951953",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930021",
            "telephone_number": "937-619-3013",
            "fax_number": "937-619-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NORTH ST",
            "city": "JEROMESVILLE",
            "state": "OH",
            "postal_code": "448409783",
            "telephone_number": "419-368-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROMESVILLE FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FULK",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "419-368-6811"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2553811",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000155551",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Kathleen Garn, RN
• Ground Work Play Therapy, Inc.
• Allison A Henderson
• Jessica Hendrix, STNA
• Hillsdale Local Schools
• Jeromesville Fire District
• Christine Jones, LSW
• Jennifer Marie Killby, LPCC-S
• Karla Marie Kirtland-Schweyer, LPCC-S, RPT
• Tonya Lynn Louis, LPN

• Ambulance in Jeromesville, OH
• Providers in Jeromesville, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.