Provider Demographics
NPI:1629675863
Name:CITY OF ALLIANCE
Entity type:Organization
Organization Name:CITY OF ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DANILLE
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:KEMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-821-1213
Mailing Address - Street 1:63 E BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-2646
Mailing Address - Country:US
Mailing Address - Phone:330-821-1213
Mailing Address - Fax:330-821-4716
Practice Address - Street 1:63 E BROADWAY ST
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-2646
Practice Address - Country:US
Practice Address - Phone:330-821-1213
Practice Address - Fax:330-821-4716
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF ALLIANCE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport