Provider Demographics
NPI:1124107396
Name:SMITHFIELD FIRE AND RESCUE
Entity type:Organization
Organization Name:SMITHFIELD FIRE AND RESCUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF SMITHFIELD
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-707-6753
Mailing Address - Street 1:5870 CLEVELAND AVE
Mailing Address - Street 2:STE D
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-2806
Mailing Address - Country:US
Mailing Address - Phone:614-890-8653
Mailing Address - Fax:614-890-2947
Practice Address - Street 1:1042 FOURTH STREET
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:OH
Practice Address - Zip Code:43948
Practice Address - Country:US
Practice Address - Phone:614-890-8846
Practice Address - Fax:614-890-2947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000371048OtherBLUE CROSS BLUE SHIELD
OH=========00OtherWORKERS COMPENSATION
OH=========00OtherWORKERS COMPENSATION