# VILLAGE OF GNADENHUTTEN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003934498
- **Authorized official:** MS. KIM STULL (CLERK)
- **Authorized official phone:** (740) 254-4307

## Contact information

- **Practice address:** 131 N WALNUT ST, GNADENHUTTEN, OH 44629-0155
- **Practice address phone:** (740) 254-4307
- **Mailing address:** 214 W 3RD ST, DOVER, OH 44622-2965
- **Mailing address phone:** (330) 602-5180
- **Mailing address fax:** (330) 602-5471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 79-201 | OH | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 08/31/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0337862 | — | OH |
| 01 | — | RR MEDICARE | 9230021 | OH |