Brookside Volunteer Fire Department

LBN: Brookside Volunteer Fire Department
Brookside Volunteer Fire Department is an health care organization with primary practice located at 875 National Rd , Bridgeport OH 43912-1464. The organization recently has only one registered license in Transportation Services / Ambulance, which is considered as the primary health care specialty. Brookside Volunteer Fire Department can be contacted via phone (740) 635-1997, or through Ketzell, Allen G via phone (740) 635-1997.

Contact Information

Primary practice address
875 National Rd Bridgeport OH 43912-1464
Phone: (740) 635-1997
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ketzell, Allen G
Phone: (740) 635-1997

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Ambulance 341600000X 020326200 Ohio

Profile Details

NPI number 1497707491
LBN Legal business name Brookside Volunteer Fire Department
DBA Doing business as
Authorized official Ketzell, Allen G
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Feb 5th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497707491 NPPES
Ohio Other 001705145 MTSTATE
Ohio Other 590012039 MTSTATE
Ohio Other 000000278014 MTSTATE
Ohio MEDICAID 2072395 MTSTATE

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