| Organization Name: | FREDERICKTOWN COMMUNITY JOINT EMERGENCY AMBULANCE DISTRICT |
| NPI Number: | 1003114521 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD J LANUZZA (FIRE CHIEF) |
| Mailing Address: | 139 Columbus Rd Fredericktown |
| State: | OH US |
| Postal Code: | 430199120 |
| Phone Number: | 7406940351 |
| Fax Number: | |
| NPI Enumeration Date: | 03/08/2011 |
| NPI Last Update Date: | 07/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |