Bolivar Volunteer Fire Department, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

020346250 Issued in OH

Legal business name

BOLIVAR VOLUNTEER FIRE DEPARTMENT, INC.

Doing business as

Bolivar Volunteer Fire Department

Practice address

456 Water Street
Bolivar, OH 44612

Phone

(330) 874-3115

NPI assigned

Oct 31, 2006

Last updated

May 17, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

BOLIVAR VOLUNTEER FIRE DEPARTMENT, INC.As reported in NPPES

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

Authorized official

Name

Mr. Shawn Lynch

Title

Chief

Phone

(330) 874-3115

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Bolivar Volunteer Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Bolivar Volunteer Fire Department Inc

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1679659635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 136",
            "city": "BOLIVAR",
            "state": "OH",
            "postal_code": "446120136",
            "telephone_number": "330-874-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 WATER STREET",
            "city": "BOLIVAR",
            "state": "OH",
            "postal_code": "44612",
            "telephone_number": "330-874-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLIVAR VOLUNTEER FIRE DEPARTMENT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOLIVAR VOLUNTEER FIRE DEPARTMENT, INC.",
        "enumeration_date": "2006-10-31",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "330-874-3115",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "020346250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE",
            "identifier": "00118186",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2028102",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000215790",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bolivar Volunteer Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne M Andrus, RN
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• Ambulance in Bolivar, OH
• Providers in Bolivar, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.